Individual
CHANTILAY RUFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 ACACIA AVE, MEADOWLANDS 302, SAN RAFAEL, CA 94901-2230
(415) 482-3571
Mailing address
61 BISSELL WAY, RICHMOND, CA 94801-3101
(760) 686-0141
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA57673
CA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
03/26/2019
Last updated
01/11/2024
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