Individual
DR. IVETTE RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27 GEORGE ST, EAST HAVEN, CT 06512-4722
(203) 907-9535
Mailing address
27 GEORGE ST, EAST HAVEN, CT 06512-4722
(203) 907-9535
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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