Individual
LOURDES RUBALCAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
650 N STATE ST, HEMET, CA 92543-2960
(951) 791-3300
Mailing address
41229 MAYBERRY AVE, HEMET, CA 92544-6342
(310) 717-8326
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
671716
CA
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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