Individual
KRYSTALINER RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 B ST, 1570, SAN DIEGO, CA 92101-4501
(619) 615-0439
Mailing address
835 CAMINITO LAS OLAS, CHULA VISTA, CA 91911-7049
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
719101
CA
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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