Individual
ALICIA MOORE RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 MOYE BLVD, GREENVILLE, NC 27834-2885
(252) 830-2149
Mailing address
2209 HYDE DR APT H, GREENVILLE, NC 27858-8067
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1876
TN
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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