Provider / Organization | NPI | Date Certified |
---|---|---|
RUDY MARVIN GONZALEZ | 1760104517 | 2023-03-21 |
Rudy Marvin Gonzalez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1760104517. Registration indicates Rudy Marvin Gonzalez is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers)
Entity Type | Individual |
Provider Name | Rudy Marvin Gonzalez RN |
Practice Office Address | 892 27TH STREET SAN DIEGO CA 92154 SAN DIEGO, CA US |
Practice Office Telephone | 6195754687 |
Mailing Address | 892 27TH STREET SAN DIEGO CA 92154 SAN DIEGO, CA 92154 US |
Business Telephone | 6195754687 |
Code | Practice | License No State |
---|---|---|
163W00000X PRIMARY | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | 95325621
CA |