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NPI Code Detail

MEDICARE: MS. JASMINE RAENA RUBIO

MEDICARE:  MS. JASMINE RAENA RUBIO
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1629586201
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JASMINE RAENA RUBIO
Provider Business Mailing Address
First Line : 1 FORD PL STE 3A
Second Line :
City : DETROIT
State : MI
Zip : 48202-3450
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2600 GARLAND ST
Second Line :
City : DETROIT
State : MI
Zip : 48214-4037
Country : US
Telephone Number : 313-344-7006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2018
Last Update Date : 12/01/2025

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Directions to “ MS. JASMINE RAENA RUBIO ” Practice Location

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