Individual
EILEEN RUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9241 E 6TH ST, TUCSON, AZ 85710-3109
(520) 721-1887
Mailing address
7820 E BROADWAY BLVD STE 100, TUCSON, AZ 85710-3939
(520) 721-1887
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3938
—
AZ
Enumeration date
01/11/2007
Last updated
07/08/2007
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