JOSE DE LA CRUZ

INDIO, CA
NPI1104205699
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  CADTP#1483)
Enumeration Date2015-05-29
Last Update Date2015-05-29
Business Address
MR. JOSE DE LA CRUZ
45550 GRACE ST
INDIO, CA 92201-4610
Phone number: 760-342-1233
Mailing Address
MR. JOSE DE LA CRUZ
45550 GRACE ST
INDIO, CA 92201-4610
Phone number: 760-342-1233
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