Healthcare Provider Details

I. General information

NPI: 1922922558
Provider Name (Legal Business Name): JULIANA RUEDA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2505 W SHAW AVE STE 101
FRESNO CA
93711-3334
US

IV. Provider business mailing address

2877 PLUMAS ST
MADERA CA
93637-8814
US

V. Phone/Fax

Practice location:
  • Phone: 559-307-3828
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number8818
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: