Mark Justin Jaraba Rueda, NURSEPRACTITIONER
Mark Justin Jaraba Rueda, NURSEPRACTITIONER is a Gerontology Nurse Practitioner in West Covina, California. Licensed in California. Registered with an NPI since 2021.
- Licensed in
- CA
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
1007 Harrington WayWest Covina, CA 91792-1021
Phone: (714) 883-6264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 95018894 (CA) |
|---|---|
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X · Licence 95018894 (CA) |
Record details
| NPI number | 1942963491 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | NURSEPRACTITIONER |
| Sole proprietor | No |
| NPI enumerated | October 20, 2021 |
| Last updated in NPPES | October 25, 2024 |
| Certification date | October 20, 2021 |