Organization
PRECIOUS RUTLIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRECIOUS RUTLIN (PRACTITIONER)
(314) 303-3594
Entity
Organization
Contact information
Practice address
2863 LAUREL VIEW LN, MARYLAND HEIGHTS, MO 63043-1719
(314) 499-8004
Mailing address
2863 LAUREL VIEW LN, MARYLAND HEIGHTS, MO 63043-1719
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
174400000X
Specialist
2014028896
MO
1744P3200X
Prosthetics Case Management
2014006673
MO
174H00000X
Health Educator
—
—
175F00000X
Naturopath
—
—
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/23/2015
Last updated
07/30/2023
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