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Individual

ELIZABETH HERNANDEZ-CRUZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2020 STANDIFORD AVE, MODESTO, CA 95350-6529
(209) 702-0139
Mailing address
2517 WALNUT PARK DR, MODESTO, CA 95355-9597
(209) 422-9225

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
03/08/2019
Last updated
03/08/2019
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