Provider Demographics
NPI:1184475220
Name:GARCIA, RUTH JENNIFER (MS SPED MILD/MOD)
Entity type:Individual
Prefix:MS
First Name:RUTH
Middle Name:JENNIFER
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MS SPED MILD/MOD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4554 E 52ND DR
Mailing Address - Street 2:
Mailing Address - City:MAYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90270-2412
Mailing Address - Country:US
Mailing Address - Phone:562-209-6773
Mailing Address - Fax:
Practice Address - Street 1:4554 E 52ND DR
Practice Address - Street 2:
Practice Address - City:MAYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90270-2412
Practice Address - Country:US
Practice Address - Phone:562-209-6773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist