Individual
BEVERLY SALAZAR RUPPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 WOODLAND RD, SUITE 202, SAINT HELENA, CA 94574-9501
(707) 968-0670
(707) 968-9580
Mailing address
6 WOODLAND RD, SUITE 202, SAINT HELENA, CA 94574-9501
(707) 968-0670
(707) 968-9580
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
53890
CA
Other
Enumeration date
08/18/2016
Last updated
02/01/2017
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