Individual
MICHELLE JEANNETTE CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
12062 VALLEY VIEW ST STE 140, GARDEN GROVE, CA 92845-1777
(657) 356-8300
Mailing address
2822 STOCKTON CT, RIVERSIDE, CA 92503-6222
(951) 446-6611
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
NP95029749
CA
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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