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Individual
RUBELETA MEDINA
Active
Individual
RUBELETA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
751801
CA
363LF0000X
Family Nurse Practitioner
95011111
CA
363LF0000X
Family Nurse Practitioner
Primary
NP95011111
CA
Other
Enumeration date
03/18/2019
Last updated
09/02/2026
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