Individual
DESIREE DAWN RUIZ MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
543 PAXTON RD, GALLIPOLIS, OH 45631-8717
(828) 200-3710
Mailing address
543 PAXTON RD, GALLIPOLIS, OH 45631-8717
(828) 200-3710
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
92133
WV
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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