Individual
RUBY LORRAINE SUMMUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN-BC
Contact information
Practice address
4111 JONATHON ST, OCEANSIDE, CA 92056-4217
(760) 936-7963
Mailing address
4111 JONATHON ST, OCEANSIDE, CA 92056-4217
(760) 936-7963
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
706060
CA
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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