Individual
JENNA JADE CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM,CPM,BSM
Contact information
Practice address
1621 S SIESTA AVE, WEST COVINA, CA 91790-5620
(626) 364-2720
Mailing address
1621 S SIESTA AVE, WEST COVINA, CA 91790-5620
(626) 488-9777
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
718
CA
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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