Jesse O Ruacho
NPI #1346766813 in Colton, California
Provider Information
- NPI Number
- 1346766813
- Entity Type
- Individual
- Name
- Jesse O Ruacho
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Psychiatric Technician
- Enumeration Date
- Aug 16, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 400 N PEPPER AVE
- City
- Colton
- State
- California
- ZIP Code
- 92324-1801
- Phone
- (909) 580-3145
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Psychiatric Technician |
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