Most Relevant Information
Provider Data
| NPI Number: | 1003512054 |
| Provider Name: | SPICEY ONATA RUIZ RADT |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | R1495460123 |
Most Important Dates
| Enumeration Date: | 02/01/2023 |
| Last Updated: | 02/01/2023 |
Provider Practice Location
1425 E WALNUT AVE
VISALIA
CA
932921415
Practice Location Phone/Fax
| Phone: | 5596254072 |
| Fax: |
Provider Mailing Location
1425 E WALNUT AVE
VISALIA
CA
932921415
Provider Mailing Phone/Fax
| Phone: | 5596254072 |
| Fax: |