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Individual
J-RAH POBLANO
Active
Individual
J-RAH POBLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1417860121
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881283703
NATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM
—
Enumeration date
01/14/2021
Last updated
04/15/2022
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