Individual
REBECCA RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3451 E 12TH ST, OAKLAND, CA 94601-3463
(510) 535-3735
Mailing address
3451 E 12TH ST, OAKLAND, CA 94601-3463
(519) 535-3735
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
95194660
CA
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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