Provider Demographics
NPI:1598464000
Name:VARGAS, VALERIE VICTORIA
Entity Type:Individual
Prefix:MISS
First Name:VALERIE
Middle Name:VICTORIA
Last Name:VARGAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 RIVERVIEW DR
Mailing Address - Street 2:
Mailing Address - City:EPHRATA
Mailing Address - State:PA
Mailing Address - Zip Code:17522-1872
Mailing Address - Country:US
Mailing Address - Phone:717-598-5225
Mailing Address - Fax:
Practice Address - Street 1:216 RIVERVIEW DR
Practice Address - Street 2:
Practice Address - City:EPHRATA
Practice Address - State:PA
Practice Address - Zip Code:17522-1872
Practice Address - Country:US
Practice Address - Phone:717-598-5225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator