Individual
JHONA RUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
351 S HUDSON AVE, PASADENA, CA 91101-3507
(626) 795-6981
Mailing address
255 MANZANITA AVE, SIERRA MADRE, CA 91024-2420
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
374845
CA
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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