Individual
RUBY SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1811 FULSTONE WAY APT 1, LAS VEGAS, NV 89115-3615
(702) 485-1575
Mailing address
1811 FULSTONE WAY APT 1, LAS VEGAS, NV 89115-3615
(702) 485-1575
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/05/2011
Last updated
09/05/2011
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