Individual
DAISY NICOLE DELACRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MC- PSS
Contact information
Practice address
1040 N PLEASANT AVE, FRESNO, CA 93728-2434
(559) 899-0888
Mailing address
1040 N PLEASANT AVE, FRESNO, CA 93728-2434
(559) 899-0888
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSSVJIZGR
CA
Other
Enumeration date
08/02/2023
Last updated
10/27/2023
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