Individual
SERGIO CRUZ FAJARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
295 CHIPETA WAY SUITE 22, CARE OF: SERGIO CRUZ, SALT LAKE CITY, UT 84108
(404) 502-5636
Mailing address
295 CHIPETA WAY SUITE 22, CARE OF: SERGIO CRUZ, SALT LAKE CITY, UT 84108
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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