Individual
CRUZ GLORIA MCCALLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
128 SUNSHINE CT, PETALUMA, CA 94952-4724
(707) 778-2223
Mailing address
128 SUNSHINE CT, PETALUMA, CA 94952-4724
(707) 778-2223
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/08/2013
Last updated
04/08/2013
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