Individual
MANUEL DELA CRUZ MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 MOUNT VERNON AVE, BAKERSFIELD, CA 93306-4018
(661) 326-2715
Mailing address
9941 N SEDONA CIR, FRESNO, CA 93720-5410
(559) 314-4114
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
749551
CA
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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