Individual
EDWARD RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2227 CAPRICORN WAY, SANTA ROSA, CA 95407-5478
(707) 978-0299
Mailing address
2227 CAPRICORN WAY, SANTA ROSA, CA 95407-5478
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
01/11/2023
Last updated
08/19/2025
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