Rueda, Mark Justin Jaraba

Rueda, Mark Justin Jaraba is an sole proprietor health care provider with primary practice located at 1007 Harrington Way , West Covina CA 91792-1021. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Rueda, Mark Justin Jaraba can be contacted via phone (714) 883-6264.

Contact Information

Primary practice address
1007 Harrington Way West Covina CA 91792-1021
Phone: (714) 883-6264
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 95018894 California
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 95018894 California

Profile Details

NPI number 1942963491
LBN Legal business name Rueda, Mark Justin Jaraba
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2021
Last updated Oct 20th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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