Individual
RUTZA ST CYR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
67 RAEMOOR DR, PALM COAST, FL 32164-6854
(516) 514-6143
Mailing address
67 RAEMOOR DR, PALM COAST, FL 32164-6854
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
6907039
FL
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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