Individual
OLGA RUBALCAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5911 STEVE ST, RIVERSIDE, CA 92509-4784
(951) 990-9643
Mailing address
5911 STEVE ST, RIVERSIDE, CA 92509-4784
(951) 990-9643
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
28529
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28529
—
CA
Enumeration date
06/15/2016
Last updated
06/15/2016
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