Individual
ANGEL ESAU NAVA RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1160 MEADOW LN APT 100, CONCORD, CA 94520-3726
(925) 464-9194
Mailing address
1160 MEADOW LN APT 100, CONCORD, CA 94520-3726
(925) 464-9194
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047596751
—
CA
Enumeration date
03/22/2021
Last updated
03/22/2021
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