Individual
MARYLIN RUTH CRUZ GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7965 SIERRA AVE STE E, FONTANA, CA 92336-3329
(909) 356-4459
Mailing address
7965 SIERRA AVE STE E, FONTANA, CA 92336-3329
(909) 356-4459
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
95004050
CA
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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