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NPI Code Detail

MEDICARE: MS. RUTH ANN HORTON

MEDICARE:  MS. RUTH ANN HORTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramCA

General Provider Information

NPI Number : 1275883761
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RUTH ANN HORTON
Provider Business Mailing Address
First Line : 5227 COACH DR
Second Line :
City : RICHMOND
State : CA
Zip : 94803-3864
Country : US
Telephone Number : 510-384-2899
Fax Number :
Provider Business Practice Location Address
First Line : 5227 COACH DR
Second Line :
City : RICHMOND
State : CA
Zip : 94803-3864
Country : US
Telephone Number : 510-384-2899
Fax Number : 510-562-3734
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2012
Last Update Date : 09/12/2012

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Directions to “ MS. RUTH ANN HORTON ” Practice Location

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