Individual
MRS. KRISTY ANNA RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
658 E BRIER DR, SAN BERNARDINO, CA 92408
(909) 501-0820
Mailing address
658 E BRIER DR, SAN BERNARDINO, CA 92408-2880
(909) 501-0820
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
NA
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H5318
COUNTY OF SAN BERNARDINO
CA
01
—
NA
NA
—
Enumeration date
05/06/2019
Last updated
11/20/2019
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