Individual
MRS. OTILIA VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
382 W POLK ST, COALINGA, CA 93210-2310
(559) 935-5551
Mailing address
PO BOX 102, COALINGA, CA 93210-0102
(559) 935-5551
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000266891
—
CA
Enumeration date
01/09/2017
Last updated
01/09/2017
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