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Individual

MS. ANDREA COURTNEY RUYBAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2101 COURAGE DR, FAIRFIELD, CA 94533-6717
(707) 750-3000
(707) 673-5988
Mailing address
2101 COURAGE DR, FAIRFIELD, CA 94533-6717
(707) 750-3000
(707) 673-5988

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
839194
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
839194
CA
163WS0200X
School Registered Nurse
839194
CA

Other

Enumeration date
12/12/2013
Last updated
12/12/2013
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