Individual
BRENDA RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 LUCA LN, KISSIMMEE, FL 34743-9213
(407) 744-6399
Mailing address
107 LUCA LN, KISSIMMEE, FL 34743-9213
(407) 744-6399
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
11/03/2014
Last updated
11/03/2014
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