Individual
PATRICIA RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
719 E PEPPER PL, MESA, AZ 85203-8747
(480) 798-6459
Mailing address
9628 W SUPERIOR AVE, TOLLESON, AZ 85353-8586
(480) 798-6459
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
106E00000X
Assistant Behavior Analyst
—
—
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
174200000X
Meals Provider
—
—
174H00000X
Health Educator
—
—
175T00000X
Peer Specialist
—
—
332U00000X
Home Delivered Meals
—
—
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/28/2023
Last updated
12/11/2023
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