Susan Ruddick

NPI 1154725984 · on the registry since 2014 · sole proprietor

Practice

Address: 376 E Gobbi St Ste B
Ukiah, CA 95482
Phone: (707) 472-0350
Fax: (707) 472-0358
Organisation at this address: Tapestry Family Services, Inc.
Mendocino County Youth Project
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 163W00000X
163W00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-10-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California