Individual
CELESTE DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
8724 CORD WAY, SACRAMENTO, CA 95828-5832
(916) 753-9683
Mailing address
PO BOX 1949, ELK GROVE, CA 95759-1949
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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