Individual
JUANITA M RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
611 THORNTON STREET, COTULLA, TX 78014
(830) 879-3047
Mailing address
611 THORNTON, P.O. BOX 599, COTULLA, TX 78014
(210) 954-1347
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10551
TX
Other
Enumeration date
04/18/2012
Last updated
01/21/2025
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