SearchCalifornia1041C0700X

Marycruz Vargas

NPI 1043569221 · on the registry since 2012

Practice

Address
1130 12th St
Modesto, CA 95354
Phone
(209) 525-6043
Clinicians at this address
19

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
101YP2500X
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-01-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California