Individual
ANTONIO ZAVALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RADT
Contact information
Practice address
603 D ST, SAN RAFAEL, CA 94901-3719
(707) 331-5575
Mailing address
714 LAMONT AVE, NOVATO, CA 94945-4156
(415) 299-2418
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
R1499000323
CA
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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