Individual provider · Type 1 NPI
Mark Ericson Ruiz
Driver · Brentwood, CA
NPI number
1396436267
Active
Practice location
2689 Presidio Dr
Brentwood, CA 94513-5609
Fax (925) 392-8589
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | E1378718 (CA) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Another provider at this address
Other driver providers in Brentwood
About NPI 1396436267
Mark Ericson Ruiz's National Provider Identifier is 1396436267, issued on May 19, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Brentwood, CA. The record was last updated on May 19, 2023.