SearchCalifornia101YA0400X

Misty Rupp

NPI 1881046860 · on the registry since 2016 · sole proprietor

Practice

Address
1143 Missouri St
Fairfield, CA 94533
Phone
(707) 435-9911
Organisation at this address
Pharmatox, Inc
Pharmatox, Inc.
Medmark Treatment Centers - Fairfield, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
39

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-07-01

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