Provider Demographics
NPI:1376726356
Name:VARGAS, YOLANDA NATASHA (LMT)
Entity Type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:NATASHA
Last Name:VARGAS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4166 INVERRARY DR
Mailing Address - Street 2:# 412
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-4525
Mailing Address - Country:US
Mailing Address - Phone:561-502-1971
Mailing Address - Fax:
Practice Address - Street 1:4166 INVERRARY DR
Practice Address - Street 2:# 412
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319-4525
Practice Address - Country:US
Practice Address - Phone:561-502-1971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-12
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMA49729OtherMASSAGE THERAPY LICENSE