Individual
ALEXIS K. CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34101 FAREHOLT AVE, SAN DIEGO, CA 92134-0001
(619) 532-7968
Mailing address
15 BIRCHWOOD CV, CABOT, AR 72023-2226
(516) 329-0049
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/28/2023
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