Individual
MISS PATRICIA V SANTACRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13300 E HIGHWAY 20 STE O, CLEARLAKE OAKS, CA 95423-9436
(707) 998-0310
Mailing address
PO BOX 1024, LUCERNE, CA 95458-1024
(707) 274-9101
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-MORQJN
CA
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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