Individual
CYNTHIA CRUZ-PORTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
814 BRIDGEWATER LN, WALNUT, CA 91789-1435
(310) 619-8402
Mailing address
814 BRIDGEWATER LN, WALNUT, CA 91789-1435
(310) 619-8402
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95013422
CA
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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