Individual
JOANNA COCO DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2130 STOCKTON BLVD BLDG 300, SACRAMENTO, CA 95817-1337
(916) 520-2460
(916) 520-2459
Mailing address
2130 STOCKTON BLVD BLDG 300, SACRAMENTO, CA 95817-1337
(916) 520-2460
(916) 520-2459
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
703065
CA
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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