Individual
MISS JACQUELINE DAUZ CALICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4332 VIA DORA DR, ANTIOCH, CA 94531-6630
(925) 437-9642
Mailing address
4332 VIA DORA DR, ANTIOCH, CA 94531-6630
(925) 437-9642
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48192
CA
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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