Individual
SELENA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 E TULARE AVE, VISALIA, CA 93292-3629
(559) 623-0900
Mailing address
520 E TULARE AVE, VISALIA, CA 93292-3629
(559) 623-0900
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40835
CA
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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