Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | G064514 | CA |
NPI | 1124009147 |
---|---|
Provider Name | Dr. Ruth Ellen Haskins |
First Address | El Dorado Hills, CA 95762-7326 |
Second Address | Folsom, CA 95630-9554 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2005 |
Last Update Date | 24/02/2014 |