Individual
RUTHLINE SEVERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
4026 NW 38TH AVE, LAUDERDALE LAKES, FL 33309-4813
(954) 740-4392
Mailing address
6805 MERION PL, NORTH LAUDERDALE, FL 33068-3705
(954) 740-4392
Taxonomy
Speciality
Code
Description
License number
State
2279S1500X
SNF/Subacute Care Registered Respiratory Therapist
Primary
14926
FL
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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