Individual
FABIOLA ISABEL VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7-9 POPLAR ST, PASSAIC, NJ 07055-2222
(973) 861-9772
Mailing address
7-9 POPLAR ST, PASSAIC, NJ 07055-2222
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112092001
—
NJ
Enumeration date
11/08/2017
Last updated
11/08/2017
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