Individual
RONNI RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4015 QUAIL DR SE, LACEY, WA 98503-5994
(360) 919-4480
Mailing address
4015 QUAIL DR SE, LACEY, WA 98503-5994
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60181412
WA
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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