Provider Demographics
NPI:1942320411
Name:RINCON-GARCIA, RUTH
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:RINCON-GARCIA
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 1:83642 MECCA HILLS AVE
Mailing Address - Street 2:
Mailing Address - City:COACHELLA
Mailing Address - State:CA
Mailing Address - Zip Code:92236-6823
Mailing Address - Country:US
Mailing Address - Phone:909-904-6861
Mailing Address - Fax:
Practice Address - Street 1:83642 MECCA HILLS AVE
Practice Address - Street 2:
Practice Address - City:COACHELLA
Practice Address - State:CA
Practice Address - Zip Code:92236-6823
Practice Address - Country:US
Practice Address - Phone:909-904-6861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes167G00000XNursing Service ProvidersLicensed Psychiatric Technician