Most Relevant Information
Provider Data
| NPI Number: | 1003268830 |
| Provider Name: | RICK BRAATZ |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/05/2016 |
| Last Updated: | 07/05/2016 |
Provider Practice Location
4283 EL CAJON BLVD STE 115
SAN DIEGO
CA
921051289
Practice Location Phone/Fax
| Phone: | 6195211743 |
| Fax: | 6195211896 |
Provider Mailing Location
4283 EL CAJON BLVD STE 115
SAN DIEGO
CA
921051289
Provider Mailing Phone/Fax
| Phone: | 6195211743 |
| Fax: | 6195211896 |