EDGAR IVAN CRUZ

REDWOOD CITY, CA
NPI1205442175
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-09-16
Last Update Date2020-09-16
Business Address
EDGAR IVAN CRUZ
500 ALLERTON ST
REDWOOD CITY, CA 94063-1519
Phone number: 650-599-9955
Mailing Address
EDGAR IVAN CRUZ
500 ALLERTON ST
REDWOOD CITY, CA 94063-1519
Phone number: 650-599-9955