Individual
NICOLE RUIZ SUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3605 VISTA WAY, BLDG. B, STE. 130, OCEANSIDE, CA 92056-4565
(760) 547-1010
(760) 547-1011
Mailing address
3880 MURPHY CANYON RD STE 200, SAN DIEGO, CA 92123-4411
(858) 502-1169
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95015504
CA
Other
Enumeration date
11/09/2020
Last updated
06/05/2024
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