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Individual

ANDREW MANCERA CRUZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
41 E SAN LUIS ST, SALINAS, CA 93901-3437
(831) 242-0562
Mailing address
1230 PARKHURST ST, SIMI VALLEY, CA 93065-4443

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
10/25/2024
Last updated
02/12/2026
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