Individual
BERNARD NUNEZ CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2166 E JANE ST, SAN BERNARDINO, CA 92404-6125
(909) 725-8307
Mailing address
2166 E JANE ST, SAN BERNARDINO, CA 92404-6125
(909) 725-8307
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
VN250121
CA
Other
Enumeration date
04/23/2011
Last updated
04/23/2011
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