Individual
EDITH RUVALCABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2677 1/2 ZOE AVE., HUNTINGTON PARK, CA 90255
(323) 312-0640
Mailing address
7922 STEWART AND GRAY RD APT 1, DOWNEY, CA 90241-4753
(323) 270-2640
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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