Individual
MRS. RUTH M KLUG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN MS CPNP
Contact information
Practice address
2579 JOHN MILTON DR, 310, HERNDON, VA 20171
(703) 860-4200
(703) 860-1528
Mailing address
10400 EATON PLACE, 410, FAIRFAX, VA 22030
(703) 359-5160
(703) 383-9574
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024123433
VA
Other
Enumeration date
03/17/2006
Last updated
07/08/2007
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