Individual
ELLEN RUTEBUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-3144
(909) 580-2165
Mailing address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-3144
(909) 580-2165
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
203801
CA
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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