Individual
MABEL VARGAS CHINCHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
678 W 16TH ST APT 4, SAN PEDRO, CA 90731-4750
(424) 215-9284
Mailing address
200 PINE AVE STE 400, LONG BEACH, CA 90802-3039
(562) 285-1330
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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