Individual
RICHARD JIMENEZ RUBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
22 MDG, MCCONNELL AFB, KS 67221
(316) 759-5116
Mailing address
22 MDG, MCCONNELL AFB, KS 67221
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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