Individual
EDGAR RUIZ-ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1187 E SOUTH ST, ORLAND, CA 95963-9136
(530) 865-6459
Mailing address
242 N VILLA AVE, WILLOWS, CA 95988-2641
(530) 934-6582
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
05/09/2025
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