Angelina Raquel Sifuentez, Radt-1
Technician in Ceres, CA. Individual provider (NPI-1).
NPI number1629788872
StatusActive
Last updated in NPPESNov 29, 2022
Details
- NPI
- 1629788872
- Entity type
- Individual (NPI-1)
- Name
- Angelina Raquel Sifuentez
- Credential
- Radt-1
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 29, 2022
- Certification date
- Nov 29, 2022
- Last updated
- Nov 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374700000X | Technician | – | – | Yes |
Practice location
1904 Richland AveCeres, CA 95307-4562
Phone 209-525-7442
Mailing address
1904 Richland AveCeres, CA 95307-4562
Phone 209-525-7442
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