Individual
RUBY BALDERRAMA GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 W LEE ST, ENTERPRISE, AL 36330-2424
(334) 792-5020
Mailing address
201 W LEE ST, ENTERPRISE, AL 36330-2424
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23-309361
23-309361
AL
Enumeration date
11/15/2023
Last updated
11/15/2023
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