Individual
DOLORES USAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 SOQUEL AVE, SANTA CRUZ, CA 95062-1402
(831) 600-2801
Mailing address
2250 SOQUEL AVE, SANTA CRUZ, CA 95062-1402
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
761075
CA
Other
Enumeration date
09/04/2017
Last updated
09/04/2017
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