Individual
LYDIA CRUZ ANGULO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41 W MAPLE AVE, HEBER, CA 92249
(760) 222-5155
(760) 337-8021
Mailing address
41 W MAPLE AVE, HEBER, CA 92249-9631
(760) 222-5155
(760) 337-8021
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
7BDD429
CA
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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