Individual
MR. AHKAHUIL CHAEL RUBALCAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1270 NATIVIDAD RD, SALINAS, CA 93906-3122
(831) 755-4598
Mailing address
1459 SQUIRE CT, HOLLISTER, CA 95023-4915
(831) 755-4598
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
12345
CA
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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