Individual
ANGELICA VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1108 JUNE ST NE, ALBUQUERQUE, NM 87112-5560
(505) 515-8603
Mailing address
1108 JUNE ST NE, ALBUQUERQUE, NM 87112-5560
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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