Individual
CONRAD LARRAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
4000 BURCHARD WAY, ROCKLIN, CA 95677-2373
(279) 226-6392
Mailing address
4000 BURCHARD WAY, ROCKLIN, CA 95677-2373
(279) 226-6392
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
F4890649
CA
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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