Individual
ASHLEY DENISE CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPAS, MPH, PA-C
Contact information
Practice address
3415 MARTIN LUTHER KING JR BLVD, SACRAMENTO, CA 95817-3648
(916) 737-5555
Mailing address
3415 MARTIN LUTHER KING JR BLVD, SACRAMENTO, CA 95817-3648
(916) 737-5555
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
22997
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA22997
PA LICENSE
CA
Enumeration date
06/14/2013
Last updated
01/04/2023
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