Individual
JESSICA VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1465 30TH ST STE K, SAN DIEGO, CA 92154-3497
(619) 428-1000
Mailing address
64 SHERWOOD ST, CHULA VISTA, CA 91911-4429
(619) 988-2117
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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