Individual
ANA MARIA PEREZ RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
1045 N LAKE AVE, PASADENA, CA 91104-4521
(626) 794-5737
(626) 794-2533
Mailing address
1045 N LAKE AVE, PASADENA, CA 91104-4521
(626) 794-5737
(626) 794-2533
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
369864
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN
369864
CA
Enumeration date
05/10/2007
Last updated
07/08/2007
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