Individual
JUAN RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
47915 OASIS ST, INDIO, CA 92201-6950
(760) 863-8600
Mailing address
82220 SOLANO AVE, INDIO, CA 92201-6845
(760) 391-0533
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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