Individual
MS. TERESA RUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CEO
Contact information
Practice address
16135 SE 95TH CT, SUMMERFIELD, FL 34491-5906
(352) 693-2545
(352) 693-2553
Mailing address
16135 SE 95TH CT, SUMMERFIELD, FL 34491-5906
(352) 693-2545
(352) 693-2553
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/11/2010
Last updated
11/04/2024
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