Individual
JESSICA RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
534 W ROMA AVE APT 1, PHOENIX, AZ 85013-2996
(602) 647-3277
Mailing address
534 W ROMA AVE APT 1, PHOENIX, AZ 85013-2996
(602) 647-3277
Taxonomy
Speciality
Code
Description
License number
State
2355A2700X
Audiology Assistant
SLPA8844
AZ
2355S0801X
Speech-Language Assistant
Primary
SLPA8844
AZ
Other
Enumeration date
07/15/2014
Last updated
02/09/2024
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