Individual
PATRICIA VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15228 W COUNTRY GABLES DR, SURPRISE, AZ 85379-7024
(623) 546-5581
Mailing address
15228 W COUNTRY GABLES DR, SURPRISE, AZ 85379-7024
(623) 546-5581
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
636917
AZ
Other
Enumeration date
05/28/2009
Last updated
05/28/2009
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