Ruth Admasu

Individual provider Active NPI Private Vehicle · San Jose, CA

NPI 1144909235 · NPPES record last updated Jul 14, 2023

Key facts

NPI
1144909235
Entity type
Individual (NPI type 1)
Primary specialty
Private Vehicle 347C00000X
Practice address
2492 Golzio CT Apt 4
San Jose, CA 95133-2535
Phone
(408) 609-9704
NPI assigned
Jul 14, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X Yes

Addresses

Primary practice location

2492 Golzio CT Apt 4
San Jose, CA 95133-2535

Mailing address

2492 Golzio CT Apt 4
San Jose, CA 95133-2535
Phone (408) 609-9704

Other providers in San Jose, CA

All providers in San Jose, CA · Private Vehicle in California

Sources for this page

Verify at the official NPI Registry.