Ruviseli Bravo
Case Manager/Care Coordinator in Los Angeles, CA. Individual provider (NPI-1).
NPI number1649874009
StatusActive
Last updated in NPPESNov 25, 2020
Details
- NPI
- 1649874009
- Entity type
- Individual (NPI-1)
- Name
- Ruviseli Bravo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 25, 2020
- Certification date
- Nov 25, 2020
- Last updated
- Nov 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
5965 S St Andrews PlLos Angeles, CA 90047-1308
Phone 213-435-4602
Mailing address
5849 Crocker StLos Angeles, CA 90003-1311
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