Provider Demographics
NPI:1144909235
Name:ADMASU, RUTH
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:ADMASU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2492 GOLZIO CT APT 4
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95133-2535
Mailing Address - Country:US
Mailing Address - Phone:408-609-9704
Mailing Address - Fax:
Practice Address - Street 1:2492 GOLZIO CT APT 4
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95133-2535
Practice Address - Country:US
Practice Address - Phone:408-609-9704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-14
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle