Individual
BIANCA RUGAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 WEST VICTORIA STREET, GARDENA, CA 90248-3523
(310) 715-2020
Mailing address
108 WEST VICTORIA STREET, GARDENA, CA 90248-3523
(310) 715-2020
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
09/19/2022
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