| NPI | 1598938284 |
|---|---|
| Other Name | EARL CRUZ AVECILLA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 21590) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA002828L) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2023-03-13 |