Individual
MRS. RUTH ROBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
2506 W THARPE ST, TALLAHASSEE, FL 32303-3308
(850) 933-7172
(850) 421-6893
Mailing address
PO BOX 4052, TALLAHASSEE, FL 32315-4052
(850) 933-7172
(850) 421-7148
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CE10004320
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1744P3200X
PROSTHETIC DEVICE
FL
Enumeration date
03/08/2016
Last updated
03/08/2016
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