Individual
MRS. BLANCA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4505 SLAUSON AVE STE E, MAYWOOD, CA 90270-4955
(323) 771-0080
Mailing address
4332 HUNGERFORD ST, LAKEWOOD, CA 90712-1139
(562) 212-1420
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95002485
CA
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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