Individual
JEANETTE ELIZABETH RUBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1118 16TH AVE E, SEATTLE, WA 98112-3311
(206) 328-8774
(206) 324-6215
Mailing address
1118 16TH AVENUE EAST, SEATTLE, WA 98112-3311
(206) 328-8774
(206) 324-6215
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
RC00058814
WA
207Q00000X
Family Medicine Physician
Primary
MD00027447
WA
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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