Most Relevant Information
Provider Data
| NPI Number: | 1003446618 |
| Provider Name: | SHELINA MIA CRUZ LVN |
| Entity Type: | Individual |
| Taxonomy Code: | 164X00000X |
| Specialty: | Licensed Vocational Nurse |
| License Number: | 291184 |
Most Important Dates
| Enumeration Date: | 01/22/2020 |
| Last Updated: | 01/22/2020 |
Provider Practice Location
821 W ANISSA CT
FARMERSVILLE
CA
932231200
Practice Location Phone/Fax
| Phone: | 5597413173 |
| Fax: |
Provider Mailing Location
821 W ANISSA CT
FARMERSVILLE
CA
932231200
Provider Mailing Phone/Fax
| Phone: | 5597413173 |
| Fax: |