Individual
ELYSIA RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 4TH ST, BRUNSWICK, GA 31520-3779
(912) 788-5036
Mailing address
120 DELINDA DR, ROCKWELL, NC 28138-6780
(513) 505-7296
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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