Most Relevant Information
Provider Data
| NPI Number: | 1003471079 |
| Provider Name: | KRISTY ANNA RUIZ |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: | NA |
Most Important Dates
| Enumeration Date: | 05/06/2019 |
| Last Updated: | 11/20/2019 |
Provider Practice Location
658 E BRIER DR
SAN BERNARDINO
CA
92408
Practice Location Phone/Fax
| Phone: | 9095010820 |
| Fax: |
Provider Mailing Location
658 E BRIER DR
SAN BERNARDINO
CA
924082880
Provider Mailing Phone/Fax
| Phone: | 9095010820 |
| Fax: |