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Individual

MARISELA RUIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
47915 OASIS ST, INDIO, CA 92201-6950
(760) 863-8600
Mailing address
49841 CINNABAR LN, COACHELLA, CA 92236-5394
(760) 391-1521

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary

Other

Enumeration date
01/09/2019
Last updated
01/09/2019
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