Individual
MONIQUE RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 E MAIN ST, SUITE 600, OTHELLO, WA 99344-1146
(509) 488-5611
(509) 488-0166
Mailing address
425 E MAIN ST, SUITE 600, OTHELLO, WA 99344-1146
(509) 488-5611
(509) 488-0166
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CG 60713511
WA
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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