Individual
MR. WILLIAM T CABULLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5875 MONTAUBAN AVE, STOCKTON, CA 95210-5632
(209) 481-6584
Mailing address
5875 MONTAUBAN AVE, STOCKTON, CA 95210-5632
(209) 481-6584
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
08-00091765
CA
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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