Individual
LIAT RAQUEL TUBUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, RN
Contact information
Practice address
20700 VENTURA BLVD STE 100, WOODLAND HILLS, CA 91364-6268
(818) 613-7510
Mailing address
29028 OLD CARRIAGE CT, AGOURA HILLS, CA 91301-1622
(818) 489-1936
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95033478
CA
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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