Individual
CRUZ AMELIA MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14241 RD 28, MADERA, CA 93638
(559) 675-6739
Mailing address
14241 ROAD 28, MADERA, CA 93638-5715
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/21/2017
Last updated
07/05/2017
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