Individual
RUTH A DIAZ DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
25 JAARSMA CT, MADISON, WI 53716-1886
(608) 263-5010
Mailing address
25 JAARSMA CT, MADISON, WI 53716-1886
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
876
WI
Other
Enumeration date
03/10/2006
Last updated
08/22/2024
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