Individual
MRS. KARLA RAQUEL NAVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1339 BETTY AVE, WOODLAND, CA 95776-4213
(530) 723-5577
Mailing address
1339 BETTY AVE, WOODLAND, CA 95776-4213
(530) 723-5577
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
TD-2009-019
CA
Other
Enumeration date
07/07/2009
Last updated
05/21/2010
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