Individual
JENNIFER CRUZ-BRACERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11234 ANDERSON ST, GME OFFICE WESTERLY SUITE C, LOMA LINDA, CA 92354-2804
(909) 558-4174
Mailing address
11234 ANDERSON ST, GME OFFICE WESTERLY SUITE C, LOMA LINDA, CA 92354-2804
(909) 558-4174
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A158531
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2017
Last updated
12/07/2020
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