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Individual

ANA ROSA DE LA CRUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
26037 HOLLY VISTA BLVD, SAN BERNARDINO, CA 92404-3516
(909) 649-1078
Mailing address
26037 HOLLY VISTA BLVD, SAN BERNARDINO, CA 92404-3516
(909) 649-1078

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95038011
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CA

Other

Enumeration date
04/04/2023
Last updated
03/25/2026
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