Individual
SHAWNA L RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
544 W SIMMONS RD, #2, TUCSON, AZ 85705-2635
(520) 777-8880
(520) 750-0056
Mailing address
544 W SIMMONS RD, #2, TUCSON, AZ 85705-2635
(520) 777-8880
(520) 750-0056
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
12461
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194420
—
AZ
Enumeration date
04/05/2007
Last updated
07/09/2007
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