Individual
MARSHA RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 HERBERT CT, GREENVILLE, NC 27834
(252) 744-2516
(252) 744-2521
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L005092
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19VBH
BCBS OF NC
NC
01
—
Q60231A
MEDICARE
NC
Enumeration date
03/13/2018
Last updated
06/15/2018
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