Individual
ALLAN DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2030 CITRON CT, REDLANDS, CA 92374-1634
(909) 645-3705
Mailing address
2030 CITRON CT, REDLANDS, CA 92374-1634
(909) 645-3705
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
95056383
CA
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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