Individual
ROSAMARIA ELVARA RUCOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
639 ADAMS AVE, LOS BANOS, CA 93635-4701
(209) 519-8269
Mailing address
2863 STILT LN, LOS BANOS, CA 93635-9469
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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