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Individual

DR. JOY P RUIZ-MOLLESTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7424 BRIDGEPORT WAY W, SUITE 301, LAKEWOOD, WA 98499-8120
(253) 474-5141
(253) 474-5507
Mailing address
5422 80TH AVENUE CT W, TACOMA, WA 98467-3974
(253) 565-6576
(253) 474-5507

Taxonomy

Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
MD00024942
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1084425
WA
01
RU5122
REGENCE
WA
Enumeration date
07/11/2006
Last updated
07/20/2010
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