Individual
THALIA DALIZ RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18336 EDISON AVE # 1040, CHESTERFIELD, MO 63005-3618
(636) 557-2825
Mailing address
18336 EDISON AVE # 1040, CHESTERFIELD, MO 63005-3618
(636) 557-2825
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
MO
174N00000X
Lactation Consultant (Non-RN)
—
MO
374J00000X
Doula
Primary
—
MO
Other
Enumeration date
10/11/2023
Last updated
12/29/2024
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