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Individual

MS. RAQUEL LATRICE ROBLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2350 W SHAW AVE, SUITE 148, FRESNO, CA 93711-3401
(559) 434-3448
(559) 431-2242
Mailing address
2350 W SHAW AVE, SUITE 148, FRESNO, CA 93711-3401
(559) 434-3448
(559) 431-2242

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MTN01270F
CA
Enumeration date
09/17/2007
Last updated
03/30/2011
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