Individual
MRS. RUBY VILLAGONZALO BONGCARAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
245 S FETTERLY AVE, LOS ANGELES, CA 90022-1605
(323) 362-1048
Mailing address
245 S FETTERLY AVE, LOS ANGELES, CA 90022-1605
(323) 362-1048
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
585092
CA
Other
Enumeration date
07/06/2017
Last updated
07/21/2022
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