Individual
KYLE CAMERON RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1477 S MANCHESTER AVE, ANAHEIM, CA 92802-2905
(619) 247-5992
Mailing address
1477 S MANCHESTER AVE, ANAHEIM, CA 92802-2905
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95024153
CA
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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