Individual
ELIZABETH RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
ASD, 187TH MEDICAL BN, 32ND BDE, JOINT BASE SAN ANTONIO-FORT SAM HOUSTON, TX 78234
(210) 221-5731
Mailing address
9 DEARDEN PL, GAITHERSBURG, MD 20878-2850
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
R236709
MD
363LA2100X
Acute Care Nurse Practitioner
R236709
MD
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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