Individual
GRETTER RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7623 NW SOUTH RIVER DR, MEDLEY, FL 33166-2509
(786) 775-3640
Mailing address
7623 NW SOUTH RIVER DR, MEDLEY, FL 33166-2509
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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