Individual
JILL RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7550
Mailing address
10038 STEAMBOAT LN, CHEYENNE, WY 82009-3628
(307) 214-1245
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
825578
WY
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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