Individual
ANGELICA GALVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 ROBERT AVE, RIPON, CA 95366-2573
(120) 959-6511
Mailing address
615 ROBERT AVE, RIPON, CA 95366-2573
(209) 596-5118
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
Y4317763
CA
Other
Enumeration date
06/21/2024
Last updated
07/06/2024
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