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Ruby Alcantara

Community Health Worker in Santa Ana, CA. Individual provider (NPI-1).

NPI number1992446090
StatusActive
Last updated in NPPESApr 5, 2022

Details

NPI
1992446090
Entity type
Individual (NPI-1)
Name
Ruby Alcantara
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 5, 2022
Certification date
Apr 4, 2022
Last updated
Apr 5, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

1725 W 17th St
Santa Ana, CA 92706-2316

Phone 714-834-8197

Mailing address

1725 W 17th St
Santa Ana, CA 92706-2316

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