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NPI Code Detail

MEDICARE: JENNIFER RUIZ LM, CPM

MEDICARE:   JENNIFER  RUIZ  LM, CPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1176B00000XMidwife310CA

General Provider Information

NPI Number : 1750725693
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER RUIZ LM, CPM
Provider Business Mailing Address
First Line : 3348 HOLLOWAY ST
Second Line :
City : NEWBURY PARK
State : CA
Zip : 91320-5442
Country : US
Telephone Number : 805-670-7507
Fax Number :
Provider Business Practice Location Address
First Line : 968 GRAND AVE
Second Line :
City : SAINT PAUL
State : MN
Zip : 55105-3014
Country : US
Telephone Number : 651-895-2520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2013
Last Update Date : 12/01/2025

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Directions to “ JENNIFER RUIZ LM, CPM” Practice Location

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