Individual
MS. IVONNE RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(305) 825-0300
Mailing address
7901 SW 78TH ST, MIAMI, FL 33143-3941
(305) 630-2815
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY6403
FL
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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