MISS Itzai Andrea Ruiz, OCPSA 161734

NPI #1295401669 in Lorain, Ohio

Provider Information

NPI Number
1295401669
Entity Type
Individual
Name
MISS Itzai Andrea Ruiz, OCPSA 161734
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Prevention Professional
Credential
OCPSA 161734
Enumeration Date
Aug 17, 2021
Last Updated
Sep 6, 2023

Practice Location

Address
2115 W PARK DR
City
Lorain
State
Ohio
ZIP Code
44053-1138
Phone
(440) 989-4900

Specialties & Taxonomy Codes

Specialty
Peer Specialist
Prevention Professional

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