Individual
PROF. TYRONE RUTHERFORD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
827 BECKER ST, HAMMOND, IN 46320-2108
(317) 688-1907
Mailing address
827 BECKER ST, HAMMOND, IN 46320-2108
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/29/2022
Last updated
01/29/2022
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