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Individual

MS. RUTH BARBARA ROESCHLAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.,P.H.N

Contact information

Practice address
36977 PARK AVE, BURNEY, CA 96013-4067
(530) 335-3651
(530) 335-5241
Mailing address
PO BOX 27, CASSEL, CA 96016-0027
(530) 335-5882

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
96824
CA
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
Primary
10151
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PHN10151
CA
05
RN96824
CA
Enumeration date
08/21/2009
Last updated
08/21/2009
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