Individual
ERICA RAQUEL RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 SHERIDAN PL, GRAND ISLAND, NE 68803-2522
(308) 930-0396
Mailing address
1310 SHERIDAN PL, GRAND ISLAND, NE 68803-2522
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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