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Individual
MRS. JAZEL RUIVIVAR SAMBO
Active
Individual
MRS. JAZEL RUIVIVAR SAMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
95012694
CA
363L00000X
Nurse Practitioner
Primary
NP95012694
CA
363LF0000X
Family Nurse Practitioner
95012694
CA
Other
Enumeration date
09/13/2019
Last updated
01/25/2022
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