Individual
MRS. GINA THERESA CARRUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5128 SEVEN OAKS DR, CLIFTON HTS, PA 19018-1016
(610) 812-0099
Mailing address
5128 SEVEN OAKS DR, CLIFTON HTS, PA 19018-1016
(610) 812-0099
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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