Individual
SARA GAYLE RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
474 W VERMONT AVE, ESCONDIDO, CA 92025-6584
(760) 432-9884
Mailing address
9465 FARNHAM ST, SAN DIEGO, CA 92123-1308
(858) 573-2600
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
BPYCJD
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
07/01/2022
Last updated
11/06/2023
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