Individual
CARLOS ALBERTO VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14099 ASHER VW, CENTREVILLE, VA 20121-5313
(571) 356-2975
Mailing address
14099 ASHER VW, CENTREVILLE, VA 20121-5313
(571) 356-2975
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
VA
156FX1800X
Optician
—
—
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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