Individual
ELENA ISABEL MARRUFO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
552 YUCCA DR, EL CENTRO, CA 92243-4434
(760) 562-4584
Mailing address
552 YUCCA DR, EL CENTRO, CA 92243-4434
(760) 562-4584
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000000
—
CA
Enumeration date
10/20/2021
Last updated
10/20/2021
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