Individual
ALYSSA JEAN RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10600 CIBOLA LOOP NW APT 628, ALBUQUERQUE, NM 87114-5124
(505) 620-3963
Mailing address
10600 CIBOLA LOOP NW APT 628, ALBUQUERQUE, NM 87114-5124
(505) 682-3963
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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