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NPI Code Detail

MEDICARE: RUTH BARRETTA RN

MEDICARE: RUTH BARRETTA RN
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
1163W00000XRegistered NurseRN666498CA

General Provider Information

NPI Number : 1932180262
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUTH BARRETTA RN
Provider Business Mailing Address
First Line : 4305 UNIVERSITY AVE
Second Line : SUITE 150
City : SAN DIEGO
State : CA
Zip : 92105-1601
Country : US
Telephone Number : 619-563-0507
Fax Number : 619-563-0015
Provider Business Practice Location Address
First Line : 4305 UNIVERSITY AVE
Second Line : STE 150
City : SAN DIEGO
State : CA
Zip : 92105-1601
Country : US
Telephone Number : 619-563-0507
Fax Number : 619-563-0015
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2005
Last Update Date : 07/08/2007

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Directions to “ RUTH BARRETTA RN” Practice Location

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