Individual
JOSH CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4535
(805) 781-4752
Mailing address
8316 AMAPOA AVE, ATASCADERO, CA 93422-3945
(559) 816-8979
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
31741
CA
Other
Enumeration date
10/21/2014
Last updated
12/30/2014
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