Individual
JADE ELISA COBARRUBIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
250 W LAKE MARY BLVD # 3076, SANFORD, FL 32773-5925
(689) 300-6321
Mailing address
250 W LAKE MARY BLVD # 3076, SANFORD, FL 32773-5925
(689) 300-6321
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9377411
FL
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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