DERRICK WILLIAM KENNETH RUTAN

KENNEWICK, WA
NPI1841768959
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2018-11-06
Last Update Date2018-11-06
Business Address
DERRICK WILLIAM KENNETH RUTAN
3321 W KENNEWICK AVE STE 150
KENNEWICK, WA 99336-2968
Phone number: 509-735-6446
Mailing Address
DERRICK WILLIAM KENNETH RUTAN
3321 W KENNEWICK AVE STE 150
KENNEWICK, WA 99336-2968
Phone number: 509-735-6446