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NPI Code Detail

MEDICARE: MISS ERICA VARGAS MA

MEDICARE:  MISS ERICA  VARGAS  MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1285568634
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ERICA VARGAS MA
Provider Business Mailing Address
First Line : 785 KEOLU DR
Second Line :
City : KAILUA
State : HI
Zip : 96734-3509
Country : US
Telephone Number : 808-853-8984
Fax Number :
Provider Business Practice Location Address
First Line : 7707 AUSTIN RD
Second Line :
City : STOCKTON
State : CA
Zip : 95215-8312
Country : US
Telephone Number : 916-691-1783
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2026
Last Update Date : 06/10/2026

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Directions to “ MISS ERICA VARGAS MA” Practice Location

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