Dean, Willie Ruth

Dean, Willie Ruth is an sole proprietor health care provider with primary practice located at 1012 Raube Ct , Modesto CA 95351-2417. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Dean, Willie Ruth can be contacted via phone (209) 544-9377.

Contact Information

Primary practice address
1012 Raube Ct Modesto CA 95351-2417
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X VN128313 California

Profile Details

NPI number 1669682944
LBN Legal business name Dean, Willie Ruth
Credentials Licensed Visiting Nurse (LVN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669682944 NPPES
California MEDICAID EPSO16000

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