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Individual

MR. RAJNAL JAGDISH LAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
EMT-B

Contact information

Practice address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(707) 393-4000
Mailing address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(707) 393-4000

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E033132
CA

Other

Enumeration date
11/10/2021
Last updated
01/10/2022
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