Individual
RUTH E BLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-3910
Mailing address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-3910
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA1404
CA
Other
Enumeration date
02/07/2007
Last updated
09/15/2008
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