Individual provider · Type 1 NPI

Mary Ruth Prather

Specialist · Lakeport, CA

NPI number 1619451986 Active

Practice location

1950 Parallel Dr
Lakeport, CA 95453-9388

Call (707) 263-3949 Map

Fax (707) 263-3985

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1619451986

Mary Ruth Prather's National Provider Identifier is 1619451986, issued on Sep 21, 2018. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lakeport, CA. The record was last updated on Sep 21, 2018.