Individual
MRS. YESENIA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1119 E 64TH ST., LOS ANGELES, CA 90001
(323) 810-8807
Mailing address
1119 E 64TH ST., LOS ANGELES, CA 90001
(323) 810-8807
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
CA
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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