Individual
MRS. JOBINA SUSANNAH RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1486 COMMONWEALTH AVE, APT 6, BRIGHTON, MA 02135-4526
(347) 387-6065
Mailing address
DEPT# 42065 PO BOX 650823, DALLAS, TX 75265
(602) 242-4484
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
240300
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
9432765
FL
367500000X
Certified Registered Nurse Anesthetist
RN128055
AZ
Other
Enumeration date
07/08/2016
Last updated
08/25/2020
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