RODGER RUBY

FREMONT, CA
NPI1154840767
Former NameRODGER RUBY CAGAWAN
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  20a15987)
Enumeration Date2017-09-14
Last Update Date2020-06-04
Business Address
RODGER RUBY DO
3200 KEARNEY ST
FREMONT, CA 94538-2299
Phone number: 510-490-1222
Mailing Address
RODGER RUBY DO
325 DISTEL CIR
LOS ALTOS, CA 94022-1408
Phone number: 510-490-1222
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