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Individual

PATRICIA ZAVALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
815 BROADWAY ST, KING CITY, CA 93930-3304
(831) 241-4218
Mailing address
1014 TYLER AVE, GREENFIELD, CA 93927-6310
(831) 512-5135

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
B4786951
LICENSE NUMBER
CA
Enumeration date
05/13/2022
Last updated
05/13/2022
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