Individual
DEBRA RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 FAIRMONT DR, SAN LEANDRO, CA 94578-1001
(510) 895-5502
Mailing address
2050 FAIRMONT DR, SAN LEANDRO, CA 94578-1001
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
701785
CA
Other
Enumeration date
03/29/2024
Last updated
03/29/2024
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