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Individual

ALLYSA RUESCHENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
850 FAIR OAKS AVE STE 220, ARROYO GRANDE, CA 93420-3929
(805) 434-5530
(805) 434-0023
Mailing address
850 FAIR OAKS AVE STE 220, ARROYO GRANDE, CA 93420-3929
(805) 434-5530
(805) 434-0023

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95103654
CA
363LF0000X
Family Nurse Practitioner
Primary
95006199
CA

Other

Enumeration date
03/13/2017
Last updated
10/02/2024
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