Individual
MARY MARGARET RABACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
460 W LARCH RD STE 12, TRACY, CA 95304-1652
(209) 649-9815
Mailing address
460 W LARCH RD STE 12, TRACY, CA 95304-1652
(209) 649-9815
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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