Individual
JENNIFER LYNNE RUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
450 LAUREL ST, SUITE B, DES MOINES, IA 50314-3045
(515) 323-6485
Mailing address
6500 EP TRUE PKWY, APT. 4210, WEST DES MOINES, IA 50266-5255
(712) 540-0852
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
079789
IA
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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