Individual
DIEGO CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13078 FOX CT, GROVELAND, CA 95321-9540
(855) 832-6727
Mailing address
841 HOUSER LN, MODESTO, CA 95351-2490
(209) 284-8220
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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