Individual
ASCENSION THIELE-RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 474-1870
Mailing address
4601 N PARK DR, SACRAMENTO, CA 95821-4305
(408) 838-0886
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
728535
CA
Other
Enumeration date
03/25/2020
Last updated
11/27/2023
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