Individual
MS. RUTH K WIRAWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, FDN-P, EEM-CP
Contact information
Practice address
892 UNION STATION PKWY APT 8301, LEWISVILLE, TX 75057-5228
(408) 475-1514
Mailing address
892 UNION STATION PKWY APT 8301, LEWISVILLE, TX 75057-5228
(651) 500-4183
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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