RUBY DIANE SMITH

MILILANI, HI
NPI1720200397
Other NameRUBY DIANE SMITH HARRIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA 18427)
Enumeration Date2007-05-03
Last Update Date2008-01-16
Business Address
Ms. RUBY DIANE SMITH PTA
95-1011 PUUKOA ST
MILILANI, HI 96789-6505
Phone number: 863-409-5465
Mailing Address
Ms. RUBY DIANE SMITH PTA
95-1011 PUUKOA ST
MILILANI, HI 96789-6505
Phone number: 863-409-5465
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