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Individual

PAOLO RICARDO RUIZ DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7345 WOODLAND DR STE D, INDIANAPOLIS, IN 46278-1737
(317) 286-2885
(317) 536-3097
Mailing address
7345 WOODLAND DR STE D, INDIANAPOLIS, IN 46278-1737
(317) 286-2885
(317) 536-3097

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
929166
TX
163W00000X
Registered Nurse
R16510
MP

Other

Enumeration date
01/09/2018
Last updated
01/09/2018
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