Provider Demographics
NPI:1285463810
Name:TREJO HERNANDEZ, NUVIA RUBY (MEDICAL ASSISTANT)
Entity type:Individual
Prefix:
First Name:NUVIA
Middle Name:RUBY
Last Name:TREJO HERNANDEZ
Suffix:
Gender:F
Credentials:MEDICAL ASSISTANT
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Other - Credentials:
Mailing Address - Street 1:837 W CYPRESS ST
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93458-5401
Mailing Address - Country:US
Mailing Address - Phone:805-867-1577
Mailing Address - Fax:
Practice Address - Street 1:212 CARMEN LN
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93458-7769
Practice Address - Country:US
Practice Address - Phone:805-739-8700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-31
Last Update Date:2024-10-16
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical