Most Relevant Information
Provider Data
| NPI Number: | 1003467465 |
| Provider Name: | RUTHIE L BUSH CERTIFIED HAIR LOSS |
| Entity Type: | Individual |
| Taxonomy Code: | 1744P3200X |
| Specialty: | Specialist |
| License Number: | 91942 |
Most Important Dates
| Enumeration Date: | 09/26/2019 |
| Last Updated: | 10/25/2019 |
Provider Practice Location
8 BOSBY LN
FAIRHOPE
AL
365321756
Practice Location Phone/Fax
| Phone: | 2516043698 |
| Fax: |
Provider Mailing Location
8 BOSBY LN
FAIRHOPE
AL
365321756
Provider Mailing Phone/Fax
| Phone: | 2516043698 |
| Fax: |