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RUDY NELSON DELENA DELA VEGA RN

Nursing Service Providers Registered Nurse

Provider NPI: 1629445283

Provider Information:
 RUDY NELSON DELENA DELA VEGA RN
Gender: M
Not Sole Proprietor

Practice Location:
333 SUNSET AVE SUITE 140 SUISUN CITY, CA 94585-2003 US
Tel: 916-396-2345  Fax: --

Business Mailing Address:
333 SUNSET AVE SUITE 140 SUISUN CITY, CA 94585-2003 US
Tel: 916-396-2345  Fax: --

NPI Information:
NPI: 1629445283
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N163W00000XNursing Service Providers
Registered Nurse
CA606485
N163WD1100XNursing Service Providers
Registered Nurse
CA606485
Y163WH0500XNursing Service Providers
Registered Nurse
CA606485

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 163WH0500X

Type:

Classification:



Definition:



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