Individual
RUBY NICOLE TOLLISON-TRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNAP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R096697
AR
207L00000X
Anesthesiology Physician
221498
AR
Other
Enumeration date
05/26/2020
Last updated
01/22/2024
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