Individual
KARLA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1680 W SHAW AVE, FRESNO, CA 93711-3504
(559) 244-4572
Mailing address
1680 W SHAW AVE, FRESNO, CA 93711-3504
(559) 244-4572
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174H00000X
MEDI-CAL
CA
Enumeration date
02/09/2019
Last updated
02/09/2019
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