Individual
JACOB JESSE CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 W 5TH ST, SANTA ANA, CA 92701-4599
(562) 966-2473
Mailing address
405 W 5TH ST, SANTA ANA, CA 92701-4599
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN95235716
CA
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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