Individual
MRS. JARRELYN NELSON RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FAMILY & FRIENDS ORG
Contact information
Practice address
16969 OLD HAMMOND HWY, BATON ROUGE, LA 70816-1742
(225) 274-0069
Mailing address
PO BOX 41691, BATON ROUGE, LA 70835-1691
(225) 274-0069
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7770001214977902
—
LA
05
—
7770001215061201
—
LA
05
—
7770001215111001
—
LA
Enumeration date
05/10/2007
Last updated
07/09/2007
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