ASHMEL VARGAS

MOSCOW, ID
NPI1578096780
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: NY  312644350)
Enumeration Date2017-04-05
Last Update Date2017-04-05
Business Address
ASHMEL VARGAS
709 S DEAKIN ST
MOSCOW, ID 83844-9802
Phone number: 646-881-7180
Mailing Address
ASHMEL VARGAS
709 S DEAKIN ST
MOSCOW, ID 83844-9802
Phone number: 646-881-7180
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