Individual
SAMANTHA RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
953 DANBY RD, ITHACA, NY 14850-7000
(315) 398-0148
Mailing address
100 WILKINSON RD, MACEDON, NY 14502-9713
(315) 398-0148
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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