Individual
NICOLE DANIELL RUBIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
207 W. LEGION ROAD, BRAWLEY, CA 92227-7780
(760) 351-3288
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
599784-1
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
NA3980
CA
Other
Enumeration date
07/27/2010
Last updated
12/06/2017
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