Individual
BRYAN DELA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 ELM ST, SAN DIEGO, CA 92101-2692
(619) 677-3800
Mailing address
6233 VARNEY DR, SAN DIEGO, CA 92114-6826
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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