Provider Demographics
NPI:1619449071
Name:HERBERT, DELAMAR CABRAIS (RCP)
Entity Type:Individual
Prefix:
First Name:DELAMAR
Middle Name:CABRAIS
Last Name:HERBERT
Suffix:
Gender:M
Credentials:RCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:622 QUARTZ LN
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94589-2175
Mailing Address - Country:US
Mailing Address - Phone:925-481-1833
Mailing Address - Fax:
Practice Address - Street 1:52 SAN MARIN DR
Practice Address - Street 2:
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94945-1129
Practice Address - Country:US
Practice Address - Phone:415-899-7892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-26
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36508227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered