Individual
MARLENE RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14717 HAWTHORNE BLVD STE C, LAWNDALE, CA 90260-1580
(310) 355-0432
Mailing address
4514 W 141ST ST, HAWTHORNE, CA 90250-6928
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PCCI12930
CA
Other
Enumeration date
05/18/2017
Last updated
05/18/2017
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