Individual
ASHLEY RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
924 EMERALD BAY RD STE A2, SOUTH LAKE TAHOE, CA 96150-6434
(530) 544-2111
Mailing address
924 EMERALD BAY RD STE A2, SOUTH LAKE TAHOE, CA 96150-6434
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
03/04/2026
Last updated
04/21/2026
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