Individual
JAXON FREDRICK CRUZ VICTORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2521 S 6TH ST, KLAMATH FALLS, OR 97601-4343
(541) 883-2210
Mailing address
1107 W OREGON AVE, KLAMATH FALLS, OR 97601-1950
(916) 878-8058
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-018784
OR
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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