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Individual

LIEN RUIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10650 W STATE ROAD 84, SUITE 206, DAVIE, FL 33324-4235
(954) 634-3636
Mailing address
1500 FLAMINGO CT, PEMBROKE PINES, FL 33026-2818

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
05/30/2013
Last updated
05/30/2013
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