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Individual

MR. EDUARDO DELA CRUZ TULOD JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
49305 GRAPEFRUIT BLVD STE 1, COACHELLA, CA 92236-1490
(909) 556-9482
Mailing address
26221 CITRON ST, LOMA LINDA, CA 92354-6574
(909) 556-9482

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95164624
CA
363LF0000X
Family Nurse Practitioner
Primary
95022602
CA
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
556669
CA

Other

Enumeration date
10/06/2022
Last updated
05/06/2024
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