Individual
RUTH A. VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21725 HOFFMAN ST, SAINT CLAIR SHORES, MI 48082-2462
(928) 304-2648
Mailing address
21725 HOFFMAN ST, SAINT CLAIR SHORES, MI 48082-2462
(928) 304-2648
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
32162474
PA
Other
Enumeration date
05/24/2016
Last updated
07/12/2016
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