OCTAVIO HERNANDEZ RUVALCABA

SANTA ANA, CA
NPI1629534599
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-02-15
Last Update Date2022-09-29
Business Address
OCTAVIO HERNANDEZ RUVALCABA
1207 E FRUIT ST
SANTA ANA, CA 92701-4296
Phone number: 714-953-9373
Mailing Address
OCTAVIO HERNANDEZ RUVALCABA
206 N JACKSON ST STE 202
GLENDALE, CA 91206-4330
Phone number: