Individual
DANIELLA K RUTASHONGERWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 VALE RD APT 46, SAN PABLO, CA 94806-3856
(510) 650-5172
Mailing address
2121 VALE RD APT 46, SAN PABLO, CA 94806-3856
(510) 650-5172
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
711694
CA
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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