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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER L RUBALCADA

Active Sole Proprietor

JENNIFER L RUBALCADA is a 405300000X healthcare provider located in FORT WAYNE, Indiana. NPI 1457906067 is currently active in the NPPES registry. Verify at CMS.

405300000X · FORT WAYNE, IN

Registration Details

NPI Number
1457906067
Provider Type
Individual
Gender
Female
NPI Issued
Aug 9, 2019 (6.9701011214859 yrs)
Last Updated
Aug 9, 2019
License
NA (IN)
Sole Proprietor
Yes

Practice Information

Address
1101 W OAKDALE DR
FORT WAYNE, IN, 468071747
Browse IN providers · Browse ZIP 46807
Phone
2602460132
Primary Specialty
405300000X
405300000X

Other 405300000X Providers in FORT WAYNE, IN

Name Credential NPI
DR. KEVIN CAWOOD DVM 1053904508
DR. CHRISTINE O'LEARY 1790350221
DR. KIMBERLY RUTH SMITH DVM 1821663378
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.