Individual
NOVAL C DJALIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2818 MISSION INN AVE, RIVERSIDE, CA 92507-4211
(909) 254-8450
Mailing address
2818 MISSION INN AVE, RIVERSIDE, CA 92507-4211
(909) 254-8450
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
12/20/2022
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