Individual
LESLIE FAY RUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4150 V STREET, PSSB STE 1200, UCDMC DEPT OF ANESTHESIOLOGY & PAIN MEDICINE, SACRAMENTO, CA 95817-1460
(916) 734-5028
Mailing address
1212 J ST, DAVIS, CA 95616-2131
(707) 217-7166
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
776659 RN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95000252
RN LICENSE
CA
Enumeration date
01/09/2015
Last updated
06/01/2022
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