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NPI Code Detail

MEDICARE: MISS STEPHANIE MONIQUE SANCHEZ RUBALCAVA MA

MEDICARE: MISS STEPHANIE MONIQUE SANCHEZ RUBALCAVA MA
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
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1679887228
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS STEPHANIE MONIQUE SANCHEZ RUBALCAVA MA
Provider Business Mailing Address
First Line : 456 MONTGOMERY ST STE 1400
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94104-1247
Country : US
Telephone Number : 855-427-2778
Fax Number :
Provider Business Practice Location Address
First Line : 456 MONTGOMERY ST STE 1400
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94104-1247
Country : US
Telephone Number : 855-427-2778
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2010
Last Update Date : 05/24/2022

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Directions to “ MISS STEPHANIE MONIQUE SANCHEZ RUBALCAVA MA” Practice Location

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