Individual
MARY JEAN RABARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6425 UNIVERSITY AVE, SAN DIEGO, CA 92115-5808
(760) 305-7528
Mailing address
6425 UNIVERSITY AVE, SAN DIEGO, CA 92115-5808
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95286978
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95029539
CA
Other
Enumeration date
02/10/2020
Last updated
10/07/2024
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