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Individual

MISS ADRIANA SOFIA RUIZ

Active
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Individual

MISS ADRIANA SOFIA RUIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
11364
GA
363AM0700X
Medical Physician Assistant
PA1383
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003281920A
GA
Enumeration date
10/18/2012
Last updated
04/04/2023
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