Individual
TAKEYSHA RUFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
545 W MAIN ST STE 100, DOTHAN, AL 36301-1626
(334) 836-0217
(334) 803-8122
Mailing address
545 W MAIN ST STE 100, DOTHAN, AL 36301-1626
(334) 305-1508
(334) 803-8122
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84-1947398
—
AL
Enumeration date
01/16/2020
Last updated
07/30/2021
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