| Agitu M Ruda, | |
|
35 E 10th St Ste L, Tracy, CA 95376-4083 | |
| (209) 346-5551 | |
| Not Available |
| Full Name | Agitu M Ruda |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 35 E 10th St Ste L, Tracy, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841823978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Entity Name | Grow Healthcare Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Mailing Address | Practice Location Address |
|---|---|
| Agitu M Ruda, 35 E 10th St Ste L, Tracy, CA 95376-4083 Ph: (209) 346-5551 | Agitu M Ruda, 35 E 10th St Ste L, Tracy, CA 95376-4083 Ph: (209) 346-5551 |
Mrs. Rachel Scheidt Polack, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2180 W Grant Line Rd, Tracy, CA 95377 Phone: 209-627-0822 | |
Alecia Rae Jeppson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 730 Central Ave, Tracy, CA 95376 Phone: 209-820-1500 | |
Denise Mendez, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 730 N Central Ave, Tracy, CA 95376 Phone: 209-820-1500 | |
Mrs. Eileen Theresa Burkey, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1741 Parker Polich Ct, Tracy, CA 95376 Phone: 209-640-1589 | |
Aimee Comstock, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 359 W 11th St # A, Tracy, CA 95376 Phone: 209-407-4867 Fax: 209-740-4926 | |
Linda T Nguyen, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2455 Naglee Rd # 143, Tracy, CA 95304 Phone: 510-210-3233 | |
Diana Madera Escobedo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 730 N Central Ave, Tracy, CA 95376 Phone: 209-650-4000 |