Individual
CASSANDRA RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1107 TULLY RD APT M, MODESTO, CA 95350-4942
(209) 303-4525
Mailing address
1107 TULLY RD APT M, MODESTO, CA 95350-4942
(209) 303-4535
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0
CA
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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