Individual
RUTH LOUISE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 COMMONWEALTH PL STE 217, VIRGINIA BEACH, VA 23464-4529
(757) 432-2137
(757) 500-8552
Mailing address
324 GARCIA DR, VIRGINIA BEACH, VA 23454-4805
(973) 900-2135
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3130
DBHDS
VA
Enumeration date
10/09/2019
Last updated
10/09/2019
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