Individual
JORDON CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 QUINCY AVE, BROCKTON, MA 02302-2864
(508) 510-5940
Mailing address
567 PINE GROVE DR, BROCKTON, MA 02301-1125
(508) 333-9426
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/23/2025
Last updated
10/24/2025
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