Individual
DAVID R. VERA SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
1300 W LODI AVE, SUITE H, LODI, CA 95242-3000
(209) 625-8450
(209) 224-8416
Mailing address
1300 W LODI AVE, SUITE H, LODI, CA 95242-3000
(209) 625-8450
(209) 224-8416
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CO003590
CA
Other
Enumeration date
12/11/2008
Last updated
11/02/2012
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