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Individual
ALFONSO CRUZ MANUEL
Active
Individual
ALFONSO CRUZ MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95005711
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95005711
NP FURNISHING NUMBER
CA
Enumeration date
12/25/2016
Last updated
05/07/2024
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