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NPI Code Detail

MEDICARE: JOSEMARIA NARAG UY

MEDICARE: JOSEMARIA NARAG UY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantPTA449678CA

General Provider Information

NPI Number : 1962966648
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEMARIA NARAG UY
Provider Business Mailing Address
First Line : 245 TAPESTRY LN UNIT 511
Second Line :
City : AMERICAN CANYON
State : CA
Zip : 94503-3262
Country : US
Telephone Number : 707-205-5379
Fax Number :
Provider Business Practice Location Address
First Line : 2200 TUOLUMNE ST
Second Line :
City : VALLEJO
State : CA
Zip : 94589-2523
Country : US
Telephone Number : 707-644-7401
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2019
Last Update Date : 01/26/2019

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Directions to “ JOSEMARIA NARAG UY ” Practice Location

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