Individual
KATHLEEN ANN RUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1497 ALCATRAZ AVE, BERKELEY, CA 94702-2710
(510) 433-1160
(510) 844-0132
Mailing address
16215 LYLE ST, SAN LEANDRO, CA 94578-1114
(510) 276-7965
(510) 481-1949
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
13604
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13604
N.P. FURNISHING NUMBER
CA
Enumeration date
05/14/2007
Last updated
07/08/2007
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