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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS ITZAI ANDREA RUIZ, OCPSA 161734

Active

MISS ITZAI ANDREA RUIZ, OCPSA 161734 is a 405300000X healthcare provider located in LORAIN, Ohio. NPI 1295401669 is currently active in the NPPES registry. Verify at CMS.

405300000X · LORAIN, OH

Registration Details

NPI Number
1295401669
Provider Type
Individual
Gender
Female
NPI Issued
Aug 17, 2021 (5.0145348707288 yrs)
Last Updated
Sep 6, 2023
License
161734 (OH)

Practice Information

Address
2115 W PARK DR
LORAIN, OH, 440531138
Browse OH providers · Browse ZIP 44053
Phone
4409894900
Primary Specialty
405300000X
405300000X
Additional Specialty
405300000X

Other 405300000X Providers in LORAIN, OH

Name Credential NPI
JOSE FLORES OCPS CDCA CPRS TTS 1265814123
LISA KAY GOODWIN OCPS, CDCA, TTS 1639530389
JEROME A. WATKINS CDCA 1326653114
ROBERTA FOSTER CDCA OCPSA 1407462609
DONELL WILLIAMS 1013515303
MRS. ASHLEY R TRUMAN-SKVOR OCPS, CDCA 1306622246
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.