Individual
MR. CULLEN SAMUEL RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 VICENTE ST, SAN FRANCISCO, CA 94116-2923
(415) 681-3211
(415) 664-7094
Mailing address
1801 VICENTE ST, SAN FRANCISCO, CA 94116-2923
(415) 681-3211
(415) 664-7094
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
04/03/2016
Last updated
04/04/2017
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