Individual
RAJWANT LALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 SANTA MARIA DR, PITTSBURG, CA 94565-4353
(925) 360-3385
Mailing address
1143 MISSOURI ST, FAIRFIELD, CA 94533-6007
(707) 435-9911
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
714080
CA
Other
Enumeration date
06/01/2015
Last updated
06/28/2022
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