Individual
JILL DANIELLE RUETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3905 JOSE CT, CHINO, CA 91710-4847
(714) 743-4207
Mailing address
3905 JOSE CT, CHINO, CA 91710-4847
(714) 743-4207
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000002416
CA
Other
Enumeration date
12/22/2009
Last updated
04/07/2015
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