Individual
AMANDA ALIZABETH RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
10005 TEHAMA RIDGE PKWY, FORT WORTH, TX 76177-7395
(361) 396-2488
Mailing address
10005 TEHAMA RIDGE PKWY, FORT WORTH, TX 76177-7395
(361) 396-2488
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
330691
TX
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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