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Individual

ANGELICA VIVIANA RUVALCABA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2180 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4558
(805) 781-4753
(805) 781-1227
Mailing address
1604 CAT LN, SANTA MARIA, CA 93454-1581
(805) 868-7336

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
07/26/2024
Last updated
07/26/2024
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