Individual
RONALD RUTLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
872 S CAMINO DEL PUEBLO, BERNALILLO, NM 87004-5958
(505) 867-2383
(505) 867-7293
Mailing address
872 S CAMINO DEL PUEBLO, BERNALILLO, NM 87004-5958
(505) 867-2383
(505) 867-7293
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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