Individual
REY VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1053 N D ST, SAN BERNARDINO, CA 92410-3521
(951) 436-5200
Mailing address
1053 N D ST, SAN BERNARDINO, CA 92410-3521
(951) 436-5200
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/18/2013
Last updated
02/18/2013
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