Individual
AMANDA GRACE VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1910 S UNION ST UNIT 2009, ANAHEIM, CA 92805-6792
(949) 726-2173
Mailing address
1910 S UNION ST UNIT 2009, ANAHEIM, CA 92805-6792
(949) 726-2173
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
35542
CA
Other
Enumeration date
08/11/2022
Last updated
08/03/2023
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