Individual
MR. KERRY MICHAEL RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2378 KENSINGTON DR, BATON ROUGE, LA 70809-1210
(225) 937-9736
Mailing address
2378 KENSINGTON DR, BATON ROUGE, LA 70809-1210
(225) 937-9736
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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