Individual provider · Type 1 NPI

Loren Jolley-Ruud

Student in an Organized Health Care Education/Training Program · West Covina, CA

NPI number 1245883545 Active

Practice location

1215 W West Covina Pkwy
West Covina, CA 91790-2946

Other practice locations

  • Enki Health & Research Systems, Inc., 1436 Goodrich Blvd., Commerce, CA 90022 · (323) 207-2513

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Psychologist 103T00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245883545

Loren Jolley-Ruud's National Provider Identifier is 1245883545, issued on Jul 17, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in West Covina, CA. The record was last updated on Sep 4, 2019.