Individual
MS. MARIAH RUFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 ELIZA ST, FORT WAYNE, IN 46803-2035
(260) 431-1213
Mailing address
1405 ELIZA ST, FORT WAYNE, IN 46803-2035
(260) 431-1213
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
IN
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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