Individual
THERESA RUFF-JOSUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
2669 NE TWIN KNOLLS DR STE 103, BEND, OR 97701-4895
(541) 668-6210
(541) 668-6266
Mailing address
20316 DONKEY SLED RD, BEND, OR 97702-2644
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
LC-LC-10226469
OR
Other
Enumeration date
10/06/2022
Last updated
12/26/2022
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