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Individual

ERICK JOSUE CRUZ LARIOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
300 HARTLE CT, NAPA, CA 94559-4078
(707) 254-1775
Mailing address
3254 MAPLE LEAF CT, SAN JOSE, CA 95121-1564

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95260241
CA

Other

Enumeration date
11/18/2021
Last updated
12/20/2021
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