Individual
LARRY RICHARD RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
1787 WILI PA LOOP STE 7, WAILUKU, HI 96793-1271
(808) 283-0737
Mailing address
PO BOX 81690, HAIKU, HI 96708-1690
(808) 283-0737
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1233-05
HI
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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