Individual
SHAYNA RUZICKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12516 COUNTY ROAD 19A, FORDVILLE, ND 58231-9209
(701) 331-9545
Mailing address
12516 COUNTY ROAD 19A, FORDVILLE, ND 58231-9209
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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