Individual
ISKRA RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1380 S 43RD ST, SAN DIEGO, CA 92113-3408
(619) 298-3655
Mailing address
2564 NAVARRA DR UNIT 201, CARLSBAD, CA 92009-7071
(760) 809-2714
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95202600
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95202600
—
CA
Enumeration date
12/28/2020
Last updated
12/28/2020
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