Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | DC-24303 | CA |
NPI | 1750587820 |
---|---|
Provider Name | Dr. Dakila Alcaraz Cabrera |
First Address | Suisun City, CA 94585-1769 |
Second Address | Fairfield, CA 94534 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2007 |
Last Update Date | 08/07/2007 |