Individual
TANYA DEE RUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 N CENTER ST, WILLOW SPRINGS, MO 65793-1336
(480) 292-3949
Mailing address
510 N CENTER ST, WILLOW SPRINGS, MO 65793-1336
(480) 292-3949
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/18/2022
Last updated
05/19/2022
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