Individual
JOHANNA NATIVIDAD VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
112 MARKET ST FL 2, LYNN, MA 01901-1125
(781) 592-5691
Mailing address
18 DITMUS CT APT 146, BOSTON, MA 02118-1341
(857) 654-5233
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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