Individual
DOLORES VACA RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 E SANTA CLARA ST, SAN JOSE, CA 95113-1936
(669) 288-8138
Mailing address
4265 FORESTWOOD DR, SAN JOSE, CA 95121-1127
(408) 690-4826
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
10/07/2019
Last updated
06/30/2025
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