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Individual

ADRIANA VAZQUEZ RUIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
882 ROBERT ST S, WEST ST PAUL, MN 55118-1444
(651) 330-7306
(651) 348-2345
Mailing address
882 ROBERT ST S, WEST ST PAUL, MN 55118-1444
(651) 330-7306
(651) 348-2345

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1105167
DHS
MN
Enumeration date
05/03/2021
Last updated
05/03/2021
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