Individual
MR. ANTONIO RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA. MFT INTERN
Contact information
Practice address
10110 LEUCADIA LN, RIVERSIDE, CA 92503-1030
(951) 217-5233
(951) 530-1601
Mailing address
10110 LEUCADIA LN, RIVERSIDE, CA 92503-1030
(951) 217-5233
(951) 530-1601
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
#73702
CA
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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