Individual
ELIZA RUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
76 ASBURY AVE, DOVER, DE 19901-5503
(302) 233-3290
Mailing address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(719) 333-5111
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
09/12/2014
Last updated
09/12/2014
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