Individual
RUDOLPH VINCENT ESCALANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 7TH AVENUE, SUITE 150, SANTA CRUZ, CA 95062
(831) 462-1060
(831) 462-4970
Mailing address
200 7TH AVENUE, SUITE 150, SANTA CRUZ, CA 95062
(831) 462-1060
(831) 462-4970
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4410
—
CA
05
—
4496
—
CA
Enumeration date
09/28/2017
Last updated
09/28/2017
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