Individual
CHARLES ANTHONY RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 268-2990
Mailing address
581 BLUE RIDGE TRL, MORGANTON, GA 30560-2683
(706) 400-0981
(706) 374-4209
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95219778
CA
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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