Individual
ISAIAS RODOLFO VARGAS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
16850 BEAR VALLEY RD, VICTORVILLE, CA 92395-5795
(760) 241-8000
Mailing address
PO BOX 1786, RANCHO CUCAMONGA, CA 91729-1786
(702) 675-0557
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
NP95011154
CA
363LG0600X
Gerontology Nurse Practitioner
SP018742
PA
Other
Enumeration date
05/18/2018
Last updated
06/20/2023
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