Individual
ERICA CORRAL-RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 550-4747
Mailing address
360 ANEMONE CT, PATTERSON, CA 95363-8320
(408) 218-2700
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
591198
CA
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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