Doctor Name: | DR. RUTH ELLEN DE LARIOS |
NPI Number: | 1457688111 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RUTH DE LARIOS |
License Number: | |
Business Practice Address: | 1 Kings Way Avenal, CA - 93204 |
Business Phone Number: | 5593860388 |
Business Fax Number: | |
Mailing Address: | 1068 S 7th Ave, Apt. 8 AVENAL |
State: | CA |
Postal Code: | 932041700 |
Phone Number: | 5593860722 |
Fax Number: | |
NPI Enumeration Date: | 11/17/2009 |
NPI Last Update Date: | 11/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |