Individual
JAKKI RUZICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3850 PASEO DEL PRADO ST APT 36, BOULDER, CO 80301-1592
(702) 612-7533
Mailing address
3850 PASEO DEL PRADO ST APT 36, BOULDER, CO 80301-1592
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12666
CA
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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