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Individual

DOLORES RUIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9401 PAINTER AVE, WHITTIER, CA 90605-2729
(562) 698-9436
Mailing address
13135 BARTON RD, WHITTIER, CA 90605-2757
(562) 903-7000

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
1111051-E-02-71/2790
ZZ
251S00000X
Community/Behavioral Health Agency
11110712.51-E02-71/2
ZZ

Other

Enumeration date
03/20/2014
Last updated
03/20/2014
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