Individual
MRS. DANA MICHELLE RUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CN
Contact information
Practice address
10210 123RD STREET CT E STE D, PUYALLUP, WA 98374-2634
(253) 227-4899
Mailing address
14706 85TH AVENUE CT E # 2020, SOUTH HILL, WA 98375-2504
(125) 322-4533
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
NU61200452
WA
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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