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Martha Vargas

Licensed Psychiatric Technician in San Luis Obispo, CA. Individual provider (NPI-1).

NPI number1013580943
StatusActive
Last updated in NPPESJul 19, 2021

Details

NPI
1013580943
Entity type
Individual (NPI-1)
Name
Martha Vargas
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 19, 2021
Certification date
Jul 19, 2021
Last updated
Jul 19, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
167G00000X Licensed Psychiatric TechnicianPT40539CAYes

Practice location

2178 Johnson Ave
San Luis Obispo, CA 93401-4535

Phone 805-781-4712

Mailing address

2178 Johnson Ave
San Luis Obispo, CA 93401-4535

Phone 805-781-4712

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