LARRY RICHARD RUIZ

WAILUKU, HI
NPI1063877546
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: HI  1233-05)
Enumeration Date2015-12-28
Last Update Date2015-12-28
Business Address
-- LARRY RICHARD RUIZ CSAC
1787 WILI PA LOOP STE 7
WAILUKU, HI 96793-1271
Phone number: 808-283-0737
Mailing Address
-- LARRY RICHARD RUIZ CSAC
PO BOX 81690
HAIKU, HI 96708-1690
Phone number: 808-283-0737