Individual
LUIS RODRIGO RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
20307 MOUNTAIN HWY E, SPANAWAY, WA 98387-8101
(253) 846-6503
(253) 846-7986
Mailing address
20307 MOUNTAIN HWY E, SPANAWAY, WA 98387-8101
(253) 846-6503
(253) 846-7986
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO60921006
WA
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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