Individual
LIZZETTE GUADALUPE VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531-4554
(360) 330-9044
(360) 736-3139
Mailing address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531-4554
(360) 330-9044
(360) 736-3139
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CM61299370
WA
Other
Enumeration date
09/07/2023
Last updated
10/15/2025
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