Individual
RENEE L RUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
259 W MAIN ST, DECATURVILLE, TN 38329-8033
(731) 852-3112
(731) 852-3222
Mailing address
259 W MAIN ST, DECATURVILLE, TN 38329-8033
(731) 852-3112
(731) 852-3222
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPN 35736
TN
Other
Enumeration date
11/08/2006
Last updated
07/09/2007
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