Organization
LICE CONTROL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND TELLEZ RUIZ (OWNER)
(949) 764-1700
Entity
Organization
Contact information
Practice address
3189 CASTRO VALLEY BLVD, CASTRO VALLEY, CA 94546-5531
(510) 727-1280
(510) 727-1874
Mailing address
3189 CASTRO VALLEY BLVD, CASTRO VALLEY, CA 94546-5531
(510) 727-1280
(510) 727-1874
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
03/20/2008
Last updated
03/25/2008
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