NPI 1821685512

Clarrissa Rutledge

Practitioner Contractor Charleston, WV

Practice location

Address: 607 Grant St APT C, Charleston, WV 25302-1932
Phone: (304) 400-7895

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1821685512
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Dec 2020
Record last updated: 29 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.