Individual
JOSE OMAR VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SFIDC
Contact information
Practice address
1840 GATOR BLVD, BLDG: 3841, VIRGINIA BEACH, VA 23459-8931
(757) 763-3382
Mailing address
1840 GATOR BLVD, BLDG: 3841, VIRGINIA BEACH, VA 23459-8931
(757) 763-3382
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CA
Other
Enumeration date
02/06/2008
Last updated
07/21/2016
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