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Kevin Garrett Taggart Rutz
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1255075248

Kevin Garrett Taggart Rutz is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Kevin Garrett Taggart Rutz practices in San Diego, CA. The NPI Number for Kevin Garrett Taggart Rutz is 1255075248 and holds a License No. (California).

The current practice location address for Kevin Garrett Taggart Rutz is 1260 Morena Blvd Ste 200, San Diego, CA and can be reached out via phone at 619-398-3261.

Location: 1260 Morena Blvd Ste 200, San Diego, CA, 92110-3850
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255075248
Provider Name
Kevin Garrett Taggart Rutz
Credential
Provider Entity Type
Individual
Gender
Male
Address
1260 Morena Blvd Ste 200, San Diego, CA, 92110-3850
Phone Number
619-398-3261
Fax Number
Provider Enumeration Date
04/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1260 Morena Blvd Ste 200
City
San Diego
State
California
Zip
92110-3850
Phone Number
619-398-3261
Fax Number
person
Provider Business Mailing Address Details
Address
1260 Morena Blvd Ste 200
City
San Diego
State
California
Zip
92110-3850
Phone Number
619-398-3261
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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