Individual
JESSE ANTHONY RUELAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 E THOMAS RD STE 106, PHOENIX, AZ 85014-5748
(602) 248-6040
Mailing address
1500 E THOMAS RD STE 106, PHOENIX, AZ 85014-5748
(602) 248-6040
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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