Individual
MELISSA ELICIA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 THE ALAMEDA, SAN JOSE, CA 95126-1136
(408) 261-7777
(408) 259-2273
Mailing address
2344 ORLANDO DR, SAN JOSE, CA 95122-1213
(669) 204-1639
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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