Individual
ASHLEIGH MARIE RUTKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 521-2200
Mailing address
165 TIMBERLINE DR, WASHINGTON, PA 15301-8172
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C05641
MD
363A00000X
Physician Assistant
MA057327
PA
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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