Individual
MELISSA RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5570 DERRY ST, HARRISBURG, PA 17111-3504
(717) 525-9804
(717) 525-9862
Mailing address
5570 DERRY ST, HARRISBURG, PA 17111-3504
(717) 525-9804
(717) 525-9862
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN250987L
PA
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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