Provider Demographics
NPI:1801610365
Name:VARGAS, ESTEFANIA ELIETTE (NUTRITIONIST)
Entity type:Individual
Prefix:
First Name:ESTEFANIA
Middle Name:ELIETTE
Last Name:VARGAS
Suffix:
Gender:F
Credentials:NUTRITIONIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 WILLOW VISTA DR
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:TX
Mailing Address - Zip Code:76179-1392
Mailing Address - Country:US
Mailing Address - Phone:817-395-7808
Mailing Address - Fax:
Practice Address - Street 1:417 WILLOW VISTA DR
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:TX
Practice Address - Zip Code:76179-1392
Practice Address - Country:US
Practice Address - Phone:817-395-7808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist