Individual
MS. ANGELINA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2339 E FLORA ST, STOCKTON, CA 95205-4334
(209) 507-5999
Mailing address
2339 E FLORA ST, STOCKTON, CA 95205-4334
(209) 507-5999
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
D9550733
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86-1725607
NON EMERGENCY TRANSPORTATION
CA
Enumeration date
02/25/2021
Last updated
02/25/2021
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