Individual
DEBBIE RAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
469 E NORTH ST, MANTECA, CA 95336-4710
(209) 823-1788
Mailing address
469 E NORTH ST, MANTECA, CA 95336-4710
(209) 823-1788
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2220
CA
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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