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Individual

RAQUEL SALAZAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9578 2ND AVE STE A, ELK GROVE, CA 95624-1954
(510) 331-2649
Mailing address
3760 GRAND POINT LN, ELK GROVE, CA 95758-4640

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary

Other

Enumeration date
10/30/2018
Last updated
10/30/2018
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