Provider Information for 1992117840
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ANGELA CRUZ IMFT
Sex: Female
NPI: 1992117840
Last Updated: 2019-03-21
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1992117840 | ||||||||||||
| Enumeration Date | 2014-05-27 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1679 E MAIN ST 102 EL CAJON, CA 92021-5212 United States Phone: 619-441-1907 | Fax: | ||||||||||||
| Primary Practice Address | 2801 CAMINO DEL RIO SOUTH SUITE 318-3 SAN DIEGO, CA 92108 United States Phone: 619-880-3648 | Fax: | ||||||||||||
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