Individual
DORINCA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 W VISTA WAY STE 202, VISTA, CA 92083-5736
(310) 305-4777
Mailing address
550 W VISTA WAY STE 202, VISTA, CA 92083-5736
(310) 305-4777
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/22/2020
Last updated
11/05/2024
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