Individual
PAMELA REUBEN-EUBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
88 PASEO VIS, SAN CLEMENTE, CA 92673-6508
(949) 388-0776
Mailing address
88 PASEO VIS, SAN CLEMENTE, CA 92673-6508
(949) 388-0776
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95001869
CA
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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