Individual
MR. JONAH RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1724 SALEM RD, VIRGINIA BEACH, VA 23456-1304
(757) 816-9938
Mailing address
1724 SALEM RD, VIRGINIA BEACH, VA 23456-1304
(757) 816-9938
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
A67233549
VA
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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