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Individual

MIRTA M CUEVAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, PHN

Contact information

Practice address
899 NORTHGATE DR STE 100, SAN RAFAEL, CA 94903-3664
(415) 473-2623
Mailing address
899 NORTHGATE DR STE 100, SAN RAFAEL, CA 94903-3664
(415) 473-2623

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
467948
CA

Other

Enumeration date
02/18/2009
Last updated
02/18/2009
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