Provider Demographics
NPI:1538849690
Name:GEFFKEN RUBINO, MICHELLE SUZETTE (LIFE COACH)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:SUZETTE
Last Name:GEFFKEN RUBINO
Suffix:
Gender:F
Credentials:LIFE COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 ANDOVER SPARTA RD
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07821-5018
Mailing Address - Country:US
Mailing Address - Phone:973-600-2463
Mailing Address - Fax:
Practice Address - Street 1:16 MAIN ST APT D5
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-1958
Practice Address - Country:US
Practice Address - Phone:973-600-2463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach