Individual
ELENA CRUZ OMARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 MASONIC DR, VALLEJO, CA 94591-4228
(925) 335-4707
(925) 335-4718
Mailing address
1000 WARD ST, MARTINEZ, CA 94553-1360
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
298944
CA
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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