Individual
MR. SANTI JOSE RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
704 MILL ST, RENO, NV 89502-1321
(775) 954-1400
Mailing address
704 MILL ST, RENO, NV 89502-1321
(775) 945-1400
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457515850
—
NV
Enumeration date
04/20/2018
Last updated
04/20/2018
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