Individual
ALICA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7621 CANOGA AVE, CANOGA PARK, CA 91304-4912
(818) 598-6900
Mailing address
7621 CANOGA AVE, CANOGA PARK, CA 91304-4912
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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