Individual
JARED CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3213 D 3/4 RD, 4, CLIFTON, CO 81520-8862
(970) 589-9216
Mailing address
3213 D 3/4 ROAD, 4, CLIFTON, CO 81520
(970) 589-9216
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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