Individual provider · Type 1 NPI

Annaliese Miriam Ruthberg

Student in an Organized Health Care Education/Training Program · San Diego, CA

NPI number 1912690710 Active

Practice location

3767 Central Ave
San Diego, CA 92105-2599

Call (619) 278-0777 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1912690710

Annaliese Miriam Ruthberg's National Provider Identifier is 1912690710, issued on May 30, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Oct 21, 2026.