Individual
MRS. JAMIE RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
27105 LILY LAKE RD, WEBSTER, WI 54893
(715) 866-4249
Mailing address
26538 PERCH AVE. N., WEBSTER, WI 54893
(715) 866-4249
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311550-31
WI
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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