IAN LLOYD RUIZ BACCAY

FORT MOHAVE, AZ
NPI1093496069
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AZ  295726)
Enumeration Date2023-07-31
Last Update Date2024-05-02
Business Address
Mr. IAN LLOYD RUIZ BACCAY RN
5263 S HIGHWAY 95 , FORT MOHAVE, AZ 86426
FORT MOHAVE, AZ 86426-9223
Phone number: 928-704-6400
Mailing Address
Mr. IAN LLOYD RUIZ BACCAY RN
4425 S BERNARD PL
FORT MOHAVE, AZ 86426-5388
Phone number: 928-299-1268
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