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Ms. Susan Alexandra Ruiz Baca
Student in an Organized Health Care Education/Training Program in Lynwood, California
NPI 1871214882

Susan Alexandra Ruiz Baca is a Student in an Organized Health Care Education/Training Program based in Lynwood, CA. Susan Alexandra Ruiz Baca practices in Lynwood, CA. The NPI Number for Susan Alexandra Ruiz Baca is 1871214882 and holds a License No. (California).

The current practice location address for Susan Alexandra Ruiz Baca is 3590 E Imperial Hwy, Lynwood, CA and can be reached out via phone at 866-733-5924.

Location: 3590 E Imperial Hwy, Lynwood, CA, 90262-2655
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871214882
Provider Name
Susan Alexandra Ruiz Baca
Credential
Provider Entity Type
Individual
Gender
Female
Address
3590 E Imperial Hwy, Lynwood, CA, 90262-2655
Phone Number
866-733-5924
Fax Number
Provider Enumeration Date
09/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3590 E Imperial Hwy
City
Lynwood
State
California
Zip
90262-2655
Phone Number
866-733-5924
Fax Number
person
Provider Business Mailing Address Details
Address
3590 E Imperial Hwy
City
Lynwood
State
California
Zip
90262-2655
Phone Number
866-733-5924
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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