Individual
MR. ZACHARY ADAM VARGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
2266 GILL VILLAGE WAY APT 1113, SAN DIEGO, CA 92108-5580
(904) 651-9949
Mailing address
2266 GILL VILLAGE WAY APT 1113, SAN DIEGO, CA 92108-5580
(904) 651-9949
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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