Healthcare Provider Details

I. General information

NPI: 1346604881
Provider Name (Legal Business Name): MONICA RUIZ-NORIEGA N.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2016
Last Update Date: 03/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

358 ARGUELLO BLVD
SAN FRANCISCO CA
94118-1428
US

IV. Provider business mailing address

358 ARGUELLO BLVD
SAN FRANCISCO CA
94118-1428
US

V. Phone/Fax

Practice location:
  • Phone: 415-592-4431
  • Fax:
Mailing address:
  • Phone: 415-592-4431
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number StateZZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: