Individual
ANDREA RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2255 W CENTRE AVE, PORTAGE, MI 49024-4819
(269) 257-9060
Mailing address
2255 W CENTRE AVE, PORTAGE, MI 49024-4819
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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