Individual
RUTH VILLARREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
859 N MOUNTAIN AVE APT 19G, UPLAND, CA 91786-4118
(760) 954-5001
Mailing address
PO BOX 251, UPLAND, CA 91785-0251
(760) 954-5001
(909) 296-5275
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N9789290
N/A
CA
Enumeration date
08/19/2021
Last updated
08/19/2021
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