| Jon Alfredo Ruiz, LPN | |
|
750 N Freedom Blvd, Provo, UT 84601-1677 | |
| (801) 373-4760 | |
| (801) 373-0639 |
| Full Name | Jon Alfredo Ruiz |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 750 N Freedom Blvd, Provo, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457981797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4852194-3101 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jon Alfredo Ruiz, LPN 750 N Freedom Blvd, Provo, UT 84601-1677 Ph: (801) 373-4760 | Jon Alfredo Ruiz, LPN 750 N Freedom Blvd, Provo, UT 84601-1677 Ph: (801) 373-4760 |
Mary Edman, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 151 S University Ave Ste 3200, Provo, UT 84601 Phone: 801-851-7128 Fax: 801-851-7102 | |
Sarah Jane Horsley, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 750 North 200 West, Provo, UT 84601 Phone: 801-373-4760 Fax: 801-373-0639 | |
Allison Kunz Lee, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-4760 Fax: 801-373-0639 | |
Jessica Ray Clyde, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-4760 | |
Cheryl Lynn Diamond, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-4760 Fax: 801-373-0639 | |
Shawn Kraling, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 4501 N University Ave, Provo, UT 84604 Phone: 801-932-2591 |