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Individual

MR. JORGE RAUL RUIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MPH, LVN

Contact information

Practice address
402 E HILLSIDE RD STE 5, LAREDO, TX 78041-3292
(956) 789-3749
Mailing address
306 DESERT CHIEF DR, LAREDO, TX 78045-4178
(956) 789-3749

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
157594
TX

Other

Enumeration date
01/10/2022
Last updated
01/10/2022
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