Individual
JUSEL MARIE RUELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
290 N WAYTE LN, FRESNO, CA 93701-2124
(559) 459-5700
(559) 459-6109
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
20A13811
CA
207QA0505X
Adult Medicine Physician
Primary
20A13811
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
20A13811
CA
Other
Enumeration date
04/27/2013
Last updated
08/09/2016
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