Individual
VIVIAN DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5328 MONTEREY HWY STE D, SAN JOSE, CA 95111-4251
(669) 609-1478
Mailing address
5328 MONTEREY HWY STE D, SAN JOSE, CA 95111-4251
(669) 609-1478
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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