Individual
PABLO ANGEL RIVERA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
2543 S EL DORADO ST SPC 71, STOCKTON, CA 95206-3280
(209) 688-9843
Mailing address
2543 S EL DORADO ST SPC 71, STOCKTON, CA 95206-3280
(209) 688-9843
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
19-309
CA
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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