Individual
CHAD NATHAN CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
26001 REDLANDS BLVD, REDLANDS, CA 92373-7762
(909) 825-7084
Mailing address
1242 MAGNOLIA AVE, REDLANDS, CA 92373-4902
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
726632
CA
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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