Individual
CLARRISSA RUTLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
607 GRANT ST APT C, CHARLESTON, WV 25302-1932
(304) 400-7895
Mailing address
607 GRANT ST APT C, CHARLESTON, WV 25302-1932
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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