Individual
STACEY RENEE VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10283 IRONWOOD CT, RANCHO CUCAMONGA, CA 91730-1639
(909) 810-3030
Mailing address
10283 IRONWOOD CT, RANCHO CUCAMONGA, CA 91730-1639
(909) 810-3030
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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