Individual
DEZZERAE RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-546 KUPUOHI ST APT 104, WAIPAHU, HI 96797-5316
(808) 389-0972
Mailing address
94-546 KUPUOHI ST APT 104, WAIPAHU, HI 96797-5316
(808) 389-0972
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
98046
HI
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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