Individual
JUAN MANUEL GORDO-RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 DOLORES AVE, WATSONVILLE, CA 95076-2824
(831) 322-9589
Mailing address
35 DOLORES AVE, WATSONVILLE, CA 95076-2824
(831) 322-9589
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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