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Richelle Bornales
NPI 1295572436 · on the registry since 2024
Practice
- Address
- 3912 Rustic Ln
Vacaville, CA 95688 - Phone
- (917) 513-7667
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 163W00000X
163WM0705X - Licence states on file
- NULL, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California