Individual
ALICIA R. RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
12440 FIRESTONE BLVD, SUITE 3025, NORWALK, CA 90650-4328
(562) 929-6688
(562) 929-3868
Mailing address
12440 FIRESTONE BLVD, SUITE 3025, NORWALK, CA 90650-4328
(562) 929-6688
(562) 929-3868
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT31885
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT31885
LICENSED PSYCHIATRIC TECH
CA
Enumeration date
05/14/2007
Last updated
07/08/2007
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