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Individual

NILDA MORENO-RUIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1779 DOMINICAN WAY, SUITE B, SANTA CRUZ, CA 95065-1526
(831) 479-4966
(831) 479-7967
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
(916) 379-3915
(916) 853-7794

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C130527
CA
207V00000X
Obstetrics & Gynecology Physician
MD038582
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2109026
MA
Enumeration date
11/21/2005
Last updated
01/10/2022
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