Individual
RUBY MENDEZ OSAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1100 MAGELLAN DR, TEHACHAPI, CA 93561
(661) 823-3000
Mailing address
4708 HASTI JOY CT, BAKERSFIELD, CA 93309-4816
(661) 432-8962
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4097
CA
367500000X
Certified Registered Nurse Anesthetist
526174
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497738678
—
CA
01
—
88925U
BCBS
TX
Enumeration date
11/22/2005
Last updated
12/12/2018
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