Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ISIS BURAKOM RUTLEDGE, LMT
Active Sole ProprietorMRS. ISIS BURAKOM RUTLEDGE, LMT is a Contractor healthcare provider located in SAN DIEGO, California. NPI 1235372020 is currently active in the NPPES registry. Verify at CMS.
Contractor · SAN DIEGO, CA
Registration Details
- NPI Number
- 1235372020
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 9, 2009 (17.319049287514 yrs)
- Last Updated
- Oct 11, 2016
- Licenses
-
4969 (CO)68684 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4520 EXECUTIVE DRSTE 225SAN DIEGO, CA, 921213018Browse CA providers · Browse ZIP 92121
- Phone
- 6193234089
- Primary Specialty
-
Contractor
171W00000X
- Additional Specialty
- Contractor
Other Contractor Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| MS. ANNE M MCLEAN | — | 1538188537 |
| THERESE ANNE-COLLINS GREEN | PTA | 1134246648 |
| KATRINA SAN NICOLAS | — | 1548443336 |
| MRS. JOSEFINA ODULIO BAUTISTA | MEDICAL ASSISTANT | 1902062748 |
| ZARAH PIMENTEL | — | 1104145721 |
| MR. PEDRO BOJORQUEZ SR. | — | 1902199433 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.