Individual
ANTHONY JOSEPH BUBBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4944 TOMMAR DR, FAIR OAKS, CA 95628-5151
(916) 965-3776
Mailing address
4944 TOMMAR DR, FAIR OAKS, CA 95628-5151
(916) 965-3776
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
536149
CA
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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