Individual
JEREMY JEFFERY RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1551 UNIONPORT RD APT TE, BRONX, NY 10462-7706
(646) 508-0430
Mailing address
1551 UNIONPORT RD APT TE, BRONX, NY 10462-7706
(646) 508-0430
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
033580
NY
225700000X
Massage Therapist
18KT01309900
NJ
Other
Enumeration date
04/16/2024
Last updated
04/25/2024
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