Individual
ANA ROSA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 S D ST, MADERA, CA 93638-3623
(559) 673-8006
Mailing address
1528 OWENS ST, MADERA, CA 93638-2694
(559) 718-1877
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/14/2019
Last updated
08/25/2023
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