Healthcare Provider Details

I. General information

NPI: 1780959098
Provider Name (Legal Business Name): KARINA ESCALERA-CABRERA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2012
Last Update Date: 03/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 E OAK ST
STOCKTON CA
95202-2204
US

IV. Provider business mailing address

807 LYONIA DR
GALT CA
95632-3610
US

V. Phone/Fax

Practice location:
  • Phone: 209-468-9631
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: