Individual
JESUS JAVIER RUELAS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSW
Contact information
Practice address
1600 SAINT MICHAELS DR, SANTA FE, NM 87505-7615
(505) 471-4985
Mailing address
5312 JAGUAR DR, SANTA FE, NM 87507-1827
(505) 471-4985
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
1171
NM
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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