Individual
LUZVIMINDA RICARIO SUBALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037-3201
(202) 741-2944
Mailing address
2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037-3201
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
484339
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
POLICY# PL-2009
MFA PHYSICIANS INSURANCE COMPANY INC.
DC
Enumeration date
08/26/2009
Last updated
08/26/2009
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