Individual
DAPHNE KERUBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2708 N RONO ST, VISALIA, CA 93291-8359
(559) 690-3928
Mailing address
2708 N RONO ST, VISALIA, CA 93291-8359
(559) 690-3928
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95096718
CA
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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