Individual
RUTH GBADEYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 36TH AVE, MOLINE, IL 61265-7127
(877) 788-4590
Mailing address
1100 36TH AVE, MOLINE, IL 61265-7127
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
158246
IA
Other
Enumeration date
06/14/2024
Last updated
12/31/2024
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