Individual
ANGELICA FRUTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2930 INLAND EMPIRE BLVD, SUITE 120, ONTARIO, CA 91764-4802
(909) 980-6700
Mailing address
2930 INLAND EMPIRE BLVD, SUITE 120, ONTARIO, CA 91764-4802
(909) 980-6700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/19/2007
Last updated
12/24/2008
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