Individual
MRS. KY TAI LE RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA, PA
Contact information
Practice address
1700 MEDICAL WAY, SNELLVILLE, GA 30078-2195
(770) 979-0200
Mailing address
1704 CREEK MILL TRCE, LAWRENCEVILLE, GA 30044-6184
(404) 384-8552
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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