Individual
MARICELA RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6051 SUITE 201, FRESNO, CA 93710
(559) 944-7235
(559) 248-8555
Mailing address
992 BIG SANDY CT, TULARE, CA 93274-6244
(559) 668-8803
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
34384
CA
Other
Enumeration date
08/16/2023
Last updated
08/22/2023
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