Individual
ASHMEL VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
709 S DEAKIN ST, MOSCOW, ID 83844-9802
(646) 881-7180
Mailing address
709 S DEAKIN ST, MOSCOW, ID 83844-9802
(646) 881-7180
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
312644350
NY
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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