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NPI Code Detail

MEDICARE: NIKKI ALANA RUFFIN

MEDICARE: NIKKI ALANA RUFFIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1104304476
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIKKI ALANA RUFFIN
Provider Business Mailing Address
First Line : 1833 HIGHGROVE DR
Second Line :
City : ESCONDIDO
State : CA
Zip : 92027-4705
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3550 CAMINO DEL RIO N
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-1737
Country : US
Telephone Number : 760-504-5652
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2018
Last Update Date : 07/30/2018

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Directions to “ NIKKI ALANA RUFFIN ” Practice Location

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