Individual
EDWARD DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 E 3RD ST., 413, LONG BEACH, CA 90802
(562) 340-2269
Mailing address
425 E 3RD ST., 413, LONG BEACH, CA 90802
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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