Individual
MS. RUTH KOPPEL ROSENBLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
1521 ESTELLE AVE, SAN JOSE, CA 95118-1325
(408) 267-0174
Mailing address
1521 ESTELLE AVE, SAN JOSE, CA 95118-1325
(408) 267-0174
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
NP 8679
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN 449701
CA
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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