Most Relevant Information
Provider Data
| NPI Number: | 1003076407 |
| Provider Name: | JACQUELYNNE VARGAS |
| Entity Type: | Individual |
| Taxonomy Code: | 376K00000X |
| Specialty: | Nurse's Aide |
| License Number: | NA00139338 |
Most Important Dates
| Enumeration Date: | 06/10/2008 |
| Last Updated: | 06/29/2009 |
Provider Practice Location
313 S 14TH AVE
YAKIMA
WA
989023104
Practice Location Phone/Fax
| Phone: | 5094573011 |
| Fax: |
Provider Mailing Location
313 S 14TH AVE
YAKIMA
WA
989023104
Provider Mailing Phone/Fax
| Phone: | 5094573011 |
| Fax: |