Provider Demographics
NPI:1295357036
Name:RUIZ GARFIAS, MAYRA
Entity Type:Individual
Prefix:MISS
First Name:MAYRA
Middle Name:
Last Name:RUIZ GARFIAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4618 GLENMOOR CIR # A
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-3609
Mailing Address - Country:US
Mailing Address - Phone:509-681-4041
Mailing Address - Fax:
Practice Address - Street 1:5201 TIETON DR
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-3485
Practice Address - Country:US
Practice Address - Phone:509-965-5575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-14
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator