Individual
CARICA THERESA SARAZA MACARIOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
1007 SOLANO AVENUE, VALLEJO, CA 94590
(707) 641-1111
Mailing address
260 BLUEBELL PL, VALLEJO, CA 94591-8086
(707) 333-8705
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22
—
CA
Enumeration date
02/16/2018
Last updated
02/16/2018
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