Individual
MISS DIANNE RUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
517 BLOSSOM HILL RD APT A14, LOS GATOS, CA 95032-4537
(408) 887-7107
Mailing address
517 BLOSSOM HILL RD APT A14, LOS GATOS, CA 95032-4537
(408) 887-7107
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
7990
CA
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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