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NPI Code Detail

MEDICARE: REBECA RAQUEL CUEVAS ROSAS

MEDICARE:   REBECA RAQUEL CUEVAS ROSAS
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
11041C0700XClinical Social Worker264204CA

General Provider Information

NPI Number : 1306577234
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECA RAQUEL CUEVAS ROSAS
Provider Business Mailing Address
First Line : PO BOX 1092
Second Line :
City : ARCATA
State : CA
Zip : 95518-1092
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 592 14TH ST
Second Line :
City : ARCATA
State : CA
Zip : 95521-5808
Country : US
Telephone Number : 707-908-6771
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2022
Last Update Date : 03/14/2026

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Directions to “ REBECA RAQUEL CUEVAS ROSAS ” Practice Location

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