Individual
SONNY RULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 N WATERMAN AVE, SAN BERNARDINO, CA 92404-4836
(909) 883-8711
Mailing address
3614 ELIZABETH ST, RIVERSIDE, CA 92506-2506
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA20537
CA
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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