Individual
RUBEE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
450 S KITSAP BLVD, PORT ORCHARD, WA 98366-3773
(360) 744-6275
Mailing address
450 S KITSAP BLVD, PORT ORCHARD, WA 98366-3773
(360) 744-6275
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60352360
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2033549
—
WA
Enumeration date
12/18/2013
Last updated
12/03/2020
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