Individual
DESIRAE NICHOLE VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSW
Contact information
Practice address
3301 LOS ARBOLES AVE NE, ALBUQUERQUE, NM 87107-1943
(505) 800-7092
(505) 888-2851
Mailing address
4816 MCMAHON BLVD NW APT H64, ALBUQUERQUE, NM 87114-5051
(505) 464-6266
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1890
NM
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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