Individual
DESTINY TIANNA RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2821 H ST, BAKERSFIELD, CA 93301-1913
(661) 241-5040
Mailing address
2821 H ST, BAKERSFIELD, CA 93301-1913
(661) 241-5040
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
705018
CA
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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