Individual
CRYSTAL CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2523 W 7TH ST, LOS ANGELES, CA 90057-3801
(213) 480-1557
Mailing address
160 S 7TH AVE, LA PUENTE, CA 91746-3211
(626) 961-8971
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT 33628
CA
Other
Enumeration date
05/18/2007
Last updated
10/10/2016
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