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Individual

ANA MARICEL DACASIN CRUZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
401 N BRAND BLVD STE 726, GLENDALE, CA 91203-4427
(818) 239-9293
Mailing address
3955 SANTA CARLOTTA ST, GLENDALE, CA 91214-1053

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95020098
CA

Other

Enumeration date
06/28/2023
Last updated
06/28/2023
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