Individual
DESLY JESUS RUIZ AMORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
1922 HIBISCUS LN, RIVIERA BEACH, FL 33404-1873
(561) 412-9349
Mailing address
1922 HIBISCUS LN, RIVIERA BEACH, FL 33404-1873
(561) 412-9349
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
19-186
WI
Other
Enumeration date
04/07/2019
Last updated
04/07/2019
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