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Individual

CERES RUTAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2482 SUTTER ST, SAN FRANCISCO, CA 94115-3016
(415) 820-1585
Mailing address
2482 SUTTER ST, SAN FRANCISCO, CA 94115-3016
(415) 820-1585

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
23636
CA

Other

Enumeration date
06/19/2015
Last updated
06/19/2015
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