Individual
EDWARD E CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARF CERTIFIED
Contact information
Practice address
11954 166TH ST, ARTESIA, CA 90701-1816
(714) 659-9152
Mailing address
11954 166TH ST, ARTESIA, CA 90701-1816
(714) 659-9152
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
6044600735
CA
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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