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Individual
MR. JOSE RAFAEL BUENO VENTURA
Active
Individual
MR. JOSE RAFAEL BUENO VENTURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN790353
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NR21099900
NJ RN MULTI STATE LICENSE
NJ
01
—
RN790353
PA RN LICENSE
PA
Enumeration date
10/24/2024
Last updated
10/24/2024
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