Individual
JERRYL LYNN RUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 WEEOT WAY, ARCATA, CA 95521-4734
(707) 825-5000
Mailing address
1600 WEEOT WAY, ARCATA, CA 95521-4734
(707) 825-5000
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
G48674
CA
Other
Enumeration date
11/17/2005
Last updated
04/06/2011
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