Individual
CAROLINA VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6078 FAYETTE ST, LOS ANGELES, CA 90042-2705
(323) 308-9953
Mailing address
6078 FAYETTE ST, LOS ANGELES, CA 90042-2705
(323) 308-9953
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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