Individual
COLIN A REUBEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
44443 10TH ST W, LANCASTER, CA 93534-3346
(661) 726-2630
Mailing address
44443 10TH ST W, LANCASTER, CA 93534-3346
(661) 726-2630
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
10/04/2018
Last updated
01/24/2022
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