Individual
VERA ANITA VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
391 WILKERSON AVE, SUITE C, PERRIS, CA 92570-2254
(951) 943-7212
Mailing address
4355 MOUNT VERNON AVE, RIVERSIDE, CA 92507-4841
(951) 686-9604
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
17237
CA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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