Individual
MRS. MARY CLAIRE RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, MSN, MPH
Contact information
Practice address
11120 GRAVELLY LAKE DR SW STE 10, LAKEWOOD, WA 98499-1351
(253) 584-4556
Mailing address
11120 GRAVELLY LAKE DR. SUITE #10, LAKEWOOD, WA 98499
(253) 584-4556
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30002075
WA
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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