Individual
HECTOR BARRAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 BERT CRANE RD, ATWATER, CA 95301-9557
(209) 380-8760
Mailing address
523 ROOT RD, MODESTO, CA 95357-0305
(209) 380-8760
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
017847
CA
Other
Enumeration date
06/25/2017
Last updated
06/25/2017
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