Individual
MS. NERISA ANN CRUZ DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
(562) 933-0622
Mailing address
15309 BECHARD AVE, NORWALK, CA 90650-6806
(562) 897-6228
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NP95000503
CA
Other
Enumeration date
05/05/2015
Last updated
03/17/2018
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