Individual
BRENDA M RUCKSTUHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D., CDE
Contact information
Practice address
2660 TOWNSGATE RD, STE 780, WESTLAKE VILLAGE, CA 91361-2714
(805) 905-9238
(805) 493-8217
Mailing address
448 SYRINGA ST, THOUSAND OAKS, CA 91360-1637
(805) 905-9238
(805) 493-8217
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
801383
CA
Other
Enumeration date
03/15/2007
Last updated
10/25/2021
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