Loretta Jean Rust RN

NPI 1134369580 - Registered Nurse - 163W00000X

NPI Details
NPI 1134369580
Gender Female
Enumeration Date 02/25/2009
Last Updated 02/25/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
BLDG 172 INNERLOOP STREET
FORT IRWIN CA, 92310, US
Phone (760) 380-3235
Fax
Business Location
5029 CALICO CT APT B
FORT IRWIN CA, 92310-2750, US
Phone (760) 380-6027
Fax
Toxanomy
Taxonomy Code 163W00000X
License State California
License Number 741547
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According to our database, Mrs. Loretta Jean Rust RN NPI is 1134369580, taxonomy code is 163W00000X and license number is 741547, license state is located at California. Loretta Jean Rust RN physically located at Bldg 172 Innerloop Street, Fort Irwin CA, 92310. NPI Number Loretta Jean Rust RN has the Individual type.

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1134369580 NPI number is provided on an as is basis without warranty of any kind. 1134369580 is maintained by the National Plan & Provider Enumeration System. The contents of Loretta Jean Rust RN are for informational purposes only.