Individual
RUTH EILEEN DORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2852 ADAMS AVE, SAN DIEGO, CA 92116-1407
(619) 548-0701
Mailing address
4625 51ST ST, SAN DIEGO, CA 92115-3404
(619) 283-5303
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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