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Individual
ANDY RAFAEL RUIZ
Active
Individual
ANDY RAFAEL RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
805
PR
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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