Individual
RUBY CONNOLLY ISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 W SIMS WAY STE 300, PORT TOWNSEND, WA 98368-2234
(360) 385-0610
(360) 379-8259
Mailing address
181 ASHLEY CT, DUNEDIN, FL 34698-8427
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61423487
FL
163WH0200X
Home Health Registered Nurse
RN61423487
FL
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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