Individual
MS. JOANNE MARIE VARGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
740 TEXAS ST, STE 208, FAIRFIELD, CA 94533-5512
(707) 389-4915
Mailing address
1619 SAN CARLOS ST, FAIRFIELD, CA 94533-5242
(707) 694-6588
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35000
CAMTC (CALIFORNIA MASSAGE THERAPY COUNCIL)
CA
Enumeration date
03/02/2016
Last updated
06/23/2016
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