Most Relevant Information
Provider Data
| NPI Number: | 1003394818 |
| Provider Name: | GRACIELA RUIZ |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/02/2018 |
| Last Updated: | 08/02/2018 |
Provider Practice Location
8330 RESEDA BLVD
NORTHRIDGE
CA
913244619
Practice Location Phone/Fax
| Phone: | 8189961051 |
| Fax: |
Provider Mailing Location
8330 RESEDA BLVD
NORTHRIDGE
CA
913244619
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |