Individual
CRYSTAL PANGELINAN CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
700 S TUSTIN ST, ORANGE, CA 92866-3425
(714) 633-4550
Mailing address
401 W LA VETA AVE APT 118, ORANGE, CA 92866-2626
(714) 923-2822
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
223606
CA
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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