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Individual

MS. SARAH ELISABETH RUTHERFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
4616 EL CAMINO AVE, SACRAMENTO, CA 95821-6752
(916) 473-3441
Mailing address
4616 EL CAMINO AVE, SACRAMENTO, CA 95821-6752
(916) 473-3441

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
59192
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06029110
STATE COMPENSATION INSURANCE FUND
Enumeration date
01/14/2015
Last updated
01/14/2015
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