Individual
DEBRA RUIZ AQUINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 VICTORIA ST, COSTA MESA, CA 92627-1995
(949) 642-2734
Mailing address
3025 W BORCHARD AVE, SANTA ANA, CA 92704-3006
(714) 261-4194
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
247046
CA
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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