Individual
VANESSA MARIE VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94 SHEPARD AVE LOWR, KENMORE, NY 14217-1914
(716) 559-4068
Mailing address
94 SHEPARD AVE LOWR, KENMORE, NY 14217-1914
(716) 559-4068
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
308888
NY
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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