Individual
MRS. BONNIE LYNN RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
3200 MOTOR AVE, LOS ANGELES, CA 90034-3710
(818) 590-1018
Mailing address
3200 MOTOR AVE, LOS ANGELES, CA 90034-3710
(818) 590-1018
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT26450
CA
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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