Individual
RUBY GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12968 FREDERICK ST, MORENO VALLEY, CA 92553-5229
(951) 242-7738
Mailing address
12968 FREDERICK ST, MORENO VALLEY, CA 92553-5229
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PCI336
CA
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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