Provider Demographics
NPI:1619163243
Name:FLETCHER, RUTH ELIZABETH (RAC)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:ELIZABETH
Last Name:FLETCHER
Suffix:
Gender:F
Credentials:RAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:954 MONTGOMERY AVE
Mailing Address - Street 2:SUITE 7
Mailing Address - City:NARBERTH
Mailing Address - State:PA
Mailing Address - Zip Code:19072-1938
Mailing Address - Country:US
Mailing Address - Phone:610-668-1114
Mailing Address - Fax:
Practice Address - Street 1:954 MONTGOMERY AVE
Practice Address - Street 2:SUITE 7
Practice Address - City:NARBERTH
Practice Address - State:PA
Practice Address - Zip Code:19072-1938
Practice Address - Country:US
Practice Address - Phone:610-668-1114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-18
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK000351L171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist