Individual
MARILYN VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
79 WATKINS AVE APT 2, MIDDLETOWN, NY 10940-4622
(845) 366-5960
Mailing address
79 WATKINS AVE APT 2, MIDDLETOWN, NY 10940-4622
(845) 366-5960
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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