Individual
TANYA JACQUELINE RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 HUDSON ST, SILVER CITY, NM 88061
(575) 597-0211
(575) 597-2998
Mailing address
530 DE MOSS ST, LORDSBURG, NM 88045-2617
(575) 597-2650
(575) 597-2998
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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