Provider Demographics
NPI:1568139350
Name:ZUBIA, RENEE EVONNE
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:EVONNE
Last Name:ZUBIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44150 35TH ST W APT 10
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93536-1005
Mailing Address - Country:US
Mailing Address - Phone:424-599-1483
Mailing Address - Fax:
Practice Address - Street 1:44150 35TH ST W APT 10
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93536-1005
Practice Address - Country:US
Practice Address - Phone:424-599-1483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-27
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator