FORTUNE CRUZ

SAN JOSE, CA
NPI1427454727
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95001145)
Enumeration Date2014-11-13
Last Update Date2014-11-13
Business Address
-- FORTUNE CRUZ NP
525 S 22ND ST
SAN JOSE, CA 95116-3129
Phone number: 510-648-5706
Mailing Address
-- FORTUNE CRUZ NP
525 S 22ND ST
SAN JOSE, CA 95116-3129
Phone number: 510-648-5706
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