Individual
CARLOS ANTONIO RUIZ GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
701 E CARY ST, PAPILLION, NE 68046-6016
(402) 906-8866
Mailing address
701 E CARY ST, PAPILLION, NE 68046-6016
(402) 290-6886
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
48
NE
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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