Individual
NERSI ORIOLY CRUZ-MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
308 E SAN JACINTO AVE, PERRIS, CA 92570-2878
(951) 600-6350
Mailing address
2085 RUSTIN AVE, RIVERSIDE, CA 92507-2498
(951) 600-6350
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Y6797108
CA
175T00000X
Peer Specialist
MPSS-IFXPOE
CA
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
07/19/2023
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