Individual
LESLIE JANET RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2371 MYRTLE RD APT 208, IMPERIAL, CA 92251-8503
(760) 693-7356
Mailing address
2371 MYRTLE RD APT 208, IMPERIAL, CA 92251-8503
(760) 693-7356
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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