Individual
MS. MAUREENE CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
1719 W 17TH ST, SANTA ANA, CA 92706-2316
(714) 834-8181
(714) 834-8196
Mailing address
1602 BORK AVE, HACIENDA HTS, CA 91745-3701
(626) 330-1209
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
541130
CA
Other
Enumeration date
08/07/2007
Last updated
09/10/2007
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