Individual
CRUZ ANTONIO JIMENEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10211 W LUXTON LN, TOLLESON, AZ 85353-4405
(623) 845-2434
Mailing address
10211 W LUXTON LN, TOLLESON, AZ 85353-4405
(623) 845-2434
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AZ
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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