Individual
VANESSA IRENE DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2513 YOUNGSTOWN RD, TURLOCK, CA 95380-9707
(209) 667-0327
Mailing address
2513 YOUNGSTOWN RD, TURLOCK, CA 95380-9707
(209) 667-0327
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/07/2019
Last updated
05/17/2025
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