MEDICARE: EUNICE REBECCA URIBES

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
1	1041C0700X	Clinical Social Worker	91535	CA

General Provider Information

NPI Number	:	1710364674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EUNICE REBECCA URIBES

Provider Business Mailing Address
First Line	:	2540 W SHAW LN STE 117
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-2700
Country	:	US
Telephone Number	:	831-776-9279
Fax Number	:

Provider Business Practice Location Address
First Line	:	2540 W SHAW LN STE 117
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-2700
Country	:	US
Telephone Number	:	831-776-9279
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2015
Last Update Date	:	03/20/2024

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Directions to “ EUNICE REBECCA URIBES ” Practice Location

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