SearchCalifornia3747P1801X

Raquel Casanova, LICE TECHNICIAN

NPI 1699327593 · on the registry since 2019 · sole proprietor

Practice

Address
1333 E Dr Martin Luther King Jr Blvd
Stockton, CA 95205
Phone
(209) 290-8793

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-07-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California