Individual
GLORIA RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 LIND AVE, KISSIMMEE, FL 34744-5822
(407) 416-1012
Mailing address
210 LIND AVE, KISSIMMEE, FL 34744-5822
(407) 416-1012
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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