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Individual

RUBEN BARRIOS SAUCEDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6818 DORIANA ST APT 35, SAN DIEGO, CA 92139-2028
(760) 543-6509
Mailing address
6818 DORIANA ST APT 37, SAN DIEGO, CA 92139-2029
(619) 847-3675

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D7841556
DRIVER LICENSE
CA
Enumeration date
10/21/2021
Last updated
10/21/2021
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