Individual
JESSECA GLYNN CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 N 1680 E BLDG U, ST GEORGE, UT 84790-2579
(435) 313-4571
Mailing address
1178 E 300 S APT H215, ST GEORGE, UT 84790-2053
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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