Individual
BLANCA N CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
E8Z8T6M5
Contact information
Practice address
10429 INTERNATIONAL BLVD, OAKLAND, CA 94603-3221
(510) 777-8448
Mailing address
10429 INTERNATIONAL BLVD, OAKLAND, CA 94603-3221
(510) 777-8448
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F7106482
—
CA
Enumeration date
05/02/2021
Last updated
05/02/2021
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