Individual
AFSY CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28545 DRIVER AVE, AGOURA HILLS, CA 91301-3335
(818) 889-1262
Mailing address
38120 42ND ST E, PALMDALE, CA 93552-3051
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
RESPIRATORY, DEVELOPMENTAL, REHABILITATIVE AND RESTORATIVE PROVIDERS
CA
Enumeration date
05/22/2019
Last updated
03/12/2024
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