Individual
DEBRA COVARRUBIAS RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
751 S BASCOM AVE, PULMONARY DEPARTMENT, SAN JOSE, CA 95128-2604
(408) 885-3926
Mailing address
PO BOX 742502, LOS ANGELES, CA 90074-2502
(408) 885-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
570338
CA
363L00000X
Nurse Practitioner
Primary
16082
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C3032212
DRIVER LICENSE
CA
Enumeration date
08/15/2006
Last updated
11/04/2014
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