Rudy Marvin Gonzalez, RN
Registered Nurse in San Diego, CA. Individual provider (NPI-1).
NPI number1760104517
StatusActive
Last updated in NPPESMar 22, 2023
Details
- NPI
- 1760104517
- Entity type
- Individual (NPI-1)
- Name
- Rudy Marvin Gonzalez
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2022
- Certification date
- Mar 21, 2023
- Last updated
- Mar 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 95325621 | CA | Yes |
Practice location
892 27th Street San Diego Ca 92154San Diego, CA 92154-9215
Phone 619-575-4687
Mailing address
892 27th Street San Diego Ca 92154San Diego, CA 92154
Phone 619-575-4687
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