Individual
AMBER ANNETTE RUHSTORFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2549 JOLLY RD, OKEMOS, MI 48864-3678
(517) 614-4714
Mailing address
2549 JOLLY RD, OKEMOS, MI 48864-3678
(517) 614-4714
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2316684909
—
MI
Enumeration date
09/26/2019
Last updated
09/26/2019
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