Provider Demographics
NPI:1306279799
Name:VARGAS CONTRERAS, MJ (CD (DONA), BA, RYT)
Entity type:Individual
Prefix:
First Name:MJ
Middle Name:
Last Name:VARGAS CONTRERAS
Suffix:
Gender:F
Credentials:CD (DONA), BA, RYT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 TRUCHAS DR NE APT 215
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-3876
Mailing Address - Country:US
Mailing Address - Phone:505-506-4340
Mailing Address - Fax:
Practice Address - Street 1:5800 TRUCHAS DR NE APT 215
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-3876
Practice Address - Country:US
Practice Address - Phone:505-506-4340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-20
Last Update Date:2013-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula