Individual
RUTH WAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 S CLINTON ST, BALTIMORE, MD 21224-5730
(304) 353-7380
Mailing address
1501 S CLINTON ST, BALTIMORE, MD 21224-5730
(304) 353-7380
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
62756
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
.
COMMERCIAL INSURANCE
—
Enumeration date
08/30/2022
Last updated
08/30/2022
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