Individual
PERLA RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
300 BROADWAY, SOMERVILLE, MA 02145-2935
(617) 284-7000
Mailing address
300 BROADWAY, SOMERVILLE, MA 02145-2935
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN91250
MA
Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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