Individual
RUTHIE L BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED HAIR LOSS
Contact information
Practice address
8 BOSBY LN, FAIRHOPE, AL 36532-1756
(251) 604-3698
Mailing address
8 BOSBY LN, FAIRHOPE, AL 36532-1756
(251) 604-3698
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
91942
AL
Other
Enumeration date
09/26/2019
Last updated
10/25/2019
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