Individual
SANDRA JO RUSK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
391 PROVIDENCE CT, PAHRUMP, NV 89048-2842
(702) 807-9719
Mailing address
391 PROVIDENCE CT, PAHRUMP, NV 89048-2842
(702) 807-9719
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/25/2011
Last updated
11/25/2011
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