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Individual

MS. MARIELA RUIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
151 E BADGER RD UNIT A, MADISON, WI 53713-2708
(608) 250-2512
Mailing address
45 JUNCTION CT # 216, MADISON, WI 53717-2159
(614) 531-0173

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
243535
WI

Other

Enumeration date
09/21/2018
Last updated
09/21/2018
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