Individual
RUBIT MIROSLABA REYES ROMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44199 MONROE ST, INDIO, CA 92201-3096
(760) 609-2010
Mailing address
49615 CESAR CHAVEZ ST SPC 106, COACHELLA, CA 92236-1430
(760) 609-2010
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
MPSS-SKAHRI
CA
175T00000X
Peer Specialist
Primary
MPSS-SKAHRI
CA
175T00000X
Peer Specialist
—
—
Other
Enumeration date
02/14/2022
Last updated
01/04/2024
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