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Maia Carissa Ruiz

Community Health Worker in Fresno, CA. Individual provider (NPI-1).

NPI number1124896089
StatusActive
Last updated in NPPESDec 19, 2023

Details

NPI
1124896089
Entity type
Individual (NPI-1)
Name
Maia Carissa Ruiz
Sex
Female
Sole proprietor
No
Enumeration date
Dec 19, 2023
Certification date
Dec 19, 2023
Last updated
Dec 19, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

3433 W Shaw Ave Ste 103
Fresno, CA 93711-3229

Phone 559-374-3990

Mailing address

3433 W Shaw Ave Ste 108
Fresno, CA 93711-3229

Phone 559-558-4051

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