Individual
RUTH S SERRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
(619) 528-5000
Mailing address
4102 MARLBOROUGH AVE, SAN DIEGO, CA 92105-1462
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
—
—
246ZC0007X
Surgical Assistant
Primary
—
—
246ZS0410X
Surgical Technologist
—
—
247000000X
Health Information Technician
—
—
363AS0400X
Surgical Physician Assistant
—
—
374700000X
Technician
—
—
3747A0650X
Attendant Care Provider
—
—
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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