Individual
JAMES JON RUANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
6935 LIVERPOOL CT NE, BREMERTON, WA 98311-9646
(360) 476-6872
Mailing address
1400 FARRAGUT AVE., BLDG 940, BREMERTON, WA 98312
(360) 476-6872
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
17101002X
CA
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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