Individual
MR. ERMIN CRUZ III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1707 BROCKTON AVE APT 6, LOS ANGELES, CA 90025-7423
(310) 442-9885
Mailing address
1707 BROCKTON AVE APT 6, LOS ANGELES, CA 90025-7423
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 6166
CA
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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