NPI 1699542506
Boston Ruiz
Practice location
- Address
- 719 E Pepper Pl, Mesa, AZ 85203-8747
- Phone
- (480) 798-6459
Authorised official
- Name
- Boston Ruiz
- Title
- Owner
- Phone
- (480) 898-6459
Registered specialties (12)
Community Health Worker
Primary
Addiction (Substance Use Disorder) Counselor
Behavior Technician
Nutrition Education Nutritionist
Health & Wellness Coach
Case Manager/Care Coordinator
Contractor
Health Educator
Peer Specialist
Local Education Agency (LEA)
Case Management Agency
Student in an Organized Health Care Education/Training Program
Registry record
- NPI
- 1699542506
- Entity type
- Organization
- NPI issued
- 11 Dec 2023
- Record last updated
- 11 Dec 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.