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Mr. Mark Ericson Ruiz
Driver in Brentwood, California
NPI 1396436267

Mark Ericson Ruiz is a Driver based in Brentwood, CA. Mark Ericson Ruiz practices in Brentwood, CA. The NPI Number for Mark Ericson Ruiz is 1396436267 and holds a License No. E1378718 (California).

The current practice location address for Mark Ericson Ruiz is 2689 Presidio Dr, Brentwood, CA and can be reached out via phone at 925-698-1207 and via fax at 925-392-8589.

Location: 2689 Presidio Dr, Brentwood, CA, 94513-5609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396436267
Provider Name
Mark Ericson Ruiz
Credential
Provider Entity Type
Individual
Gender
Male
Address
2689 Presidio Dr, Brentwood, CA, 94513-5609
Phone Number
925-698-1207
Fax Number
925-392-8589
Provider Enumeration Date
05/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2689 Presidio Dr
City
Brentwood
State
California
Zip
94513-5609
Phone Number
925-698-1207
Fax Number
925-392-8589
person
Provider Business Mailing Address Details
Address
2689 Presidio Dr
City
Brentwood
State
California
Zip
94513-5609
Phone Number
925-698-1207
Fax Number
925-392-8589
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
E1378718 (California)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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