Individual
MISS CHRISTA RAE RUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1601 N WENATCHEE AVE, WENATCHEE, WA 98801-1158
(509) 667-2720
(509) 663-5073
Mailing address
1601 N WENATCHEE AVE, WENATCHEE, WA 98801-1158
(509) 667-2720
(509) 663-5073
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60069123
WA
Other
Enumeration date
02/26/2009
Last updated
02/26/2009
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