Individual
BIANCA VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1532 PROSPECT AVE APT 42, SAN GABRIEL, CA 91776-3448
(626) 267-0584
Mailing address
204 HAMPTON DR, VENICE, CA 90291-2623
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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