Individual
ELENA CARMEN RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 BON AIR RD UNIT B, GREENBRAE, CA 94904-1702
(415) 473-3096
Mailing address
250 BON AIR RD UNIT B, GREENBRAE, CA 94904-1702
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95307389
CA
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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