Individual
CHARIENEZ SANTOS CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1145 W REDONDO BEACH BLVD, GARDENA, CA 90247-3511
(310) 532-4200
Mailing address
11645 209TH ST APT 7, LAKEWOOD, CA 90715-1379
(562) 881-9324
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95021842
CA
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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