Individual
JAMEY MARIE VAN RUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP,MMP
Contact information
Practice address
5617 HARLOW DR, BREMERTON, WA 98312-3146
(360) 990-0188
(360) 479-3019
Mailing address
PO BOX 4724, BREMERTON, WA 98312-0420
(360) 990-0188
(360) 479-3019
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00017995
WA
Other
Enumeration date
05/20/2007
Last updated
11/05/2020
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