Individual
LOURDES SCHALLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 NUT TREE RD, VACAVILLE, CA 95687-6759
(707) 474-9949
Mailing address
2501 NUT TREE RD, VACAVILLE, CA 95687-6759
(707) 474-9949
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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