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Individual

MS. RACHEL LA MADRID BALBAS-GO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
14659 OLIVE VIEW DR, SYLMAR, CA 91342-1652
(818) 485-0888
Mailing address
659 E GARDENIA DR, AZUSA, CA 91702-6296
(626) 812-0497

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
541990
CA
225400000X
Rehabilitation Practitioner
541990
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP23011
CA

Other

Enumeration date
02/01/2007
Last updated
01/17/2014
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