Individual
CRYSTAL ELIZABETH CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44447 10TH ST W, LANCASTER, CA 93534-3324
(661) 726-2630
Mailing address
44447 10TH ST W, LANCASTER, CA 93534-3324
(661) 726-2630
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-CUBRKO
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
02/13/2023
Last updated
06/16/2024
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