Individual
MS. RUTH A. RACINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., F.N.P.
Contact information
Practice address
9040 REID ST, ATTN: MCHJ-CLQ-C, JOINT BASE LEWIS MCCHORD, WA 98431-1100
(253) 968-2252
Mailing address
9040 REID ST, ATTN: MCHJ-CLQ-C, JOINT BASE LEWIS MCCHORD, WA 98431-1100
(253) 968-2252
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
560764
CA
363LF0000X
Family Nurse Practitioner
Primary
560764
CA
Other
Enumeration date
01/08/2007
Last updated
09/08/2014
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