Individual
ANGELICA LACOUNT-VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 E BELL RD APT 3046-1, PHOENIX, AZ 85022-8782
(703) 475-6372
Mailing address
1450 E BELL RD APT 3046-1, PHOENIX, AZ 85022-8782
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27536
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123456
IDK
—
Enumeration date
01/20/2022
Last updated
01/20/2022
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