Individual
RUTHINA WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1040 W BRISTOL RD, FLINT, MI 48507-5516
(810) 553-9267
Mailing address
8971 CHAMPIONSHIP DR, DAVISON, MI 48423-8656
(810) 515-4811
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704250118
MI
Other
Enumeration date
05/06/2024
Last updated
06/11/2024
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