Individual
MR. AGUSTIN G. CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4441 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 453-4099
Mailing address
2077 E RUSH AVE, FRESNO, CA 93720-4716
(559) 875-7705
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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