Individual
LATOYA MARIE RUTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AAS
Contact information
Practice address
4460 W DEER RUN DR APT 104, BROWN DEER, WI 53223-6404
(414) 477-9927
Mailing address
4460 W DEER RUN DR APT 104, BROWN DEER, WI 53223-6404
(414) 477-9927
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
92-3696216
WI
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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