Individual
MR. CLAUDIO OMAR RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
18433 ROSCOE BLVD STE 106, NORTHRIDGE, CA 91325-4129
(818) 435-8819
Mailing address
13668 GAGER ST, PACOIMA, CA 91331-3811
(818) 497-0939
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
118995
CA
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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