Individual
MRS. MARY N KUBOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
41238 MARGARITA RD STE 104, TEMECULA, CA 92591-5552
(951) 695-6787
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
11669
CA
Other
Enumeration date
05/01/2008
Last updated
09/25/2025
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