Individual
RUDY NELSON DELENA DELA VEGA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
333 SUNSET AVE, SUITE 140, SUISUN CITY, CA 94585-2003
(916) 396-2345
Mailing address
333 SUNSET AVE, SUITE 140, SUISUN CITY, CA 94585-2003
(916) 396-2345
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
606485
CA
163WD1100X
Peritoneal Dialysis Registered Nurse
606485
CA
163WH0500X
Hemodialysis Registered Nurse
Primary
606485
CA
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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