Individual
JESSICA RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
92 ARGONAUT STE 170, ALISO VIEJO, CA 92656-4130
(949) 916-1654
(949) 916-1658
Mailing address
92 ARGONAUT STE 170, ALISO VIEJO, CA 92656-4130
(949) 916-1654
(949) 916-1658
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA5739
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811324825
PURE PEDIATRIC THERAPY
CA
Enumeration date
07/23/2021
Last updated
07/23/2021
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