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Individual

APRIL LYNETTE DE LA CRUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A-C

Contact information

Practice address
17259 JASMINE ST, STE B, VICTORVILLE, CA 92395-7787
(760) 951-7778
(760) 241-5950
Mailing address
17259 JASMINE ST STE B, POB 1537, VICTORVILLE, CA 92395-7787
(760) 951-7778
(760) 241-5950

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 17282
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0PA172820
CA
Enumeration date
06/15/2006
Last updated
10/07/2011
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