RUTH KURNIAWATI

SPRINGFIELD, MA
NPI1669898565
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MA  PA4974)
Enumeration Date2014-03-16
Last Update Date2015-12-03
Business Address
-- RUTH KURNIAWATI PA-C
50 WASON AVE
SPRINGFIELD, MA 01107-1132
Phone number: 413-794-2222
Mailing Address
-- RUTH KURNIAWATI PA-C
3640 MAIN ST 103
SPRINGFIELD, MA 01107-1139
Phone number: 413-785-5321
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