person
Petra Fabiola De La Cruz
Student in an Organized Health Care Education/Training Program in Montclair, California
NPI 1487206538

Petra Fabiola De La Cruz is a Student in an Organized Health Care Education/Training Program based in Montclair, CA. Petra Fabiola De La Cruz practices in Montclair, CA. The NPI Number for Petra Fabiola De La Cruz is 1487206538 and holds a License No. (California).

The current practice location address for Petra Fabiola De La Cruz is 9916 Central Ave, Montclair, CA and can be reached out via phone at 909-450-2502.

Location: 9916 Central Ave, Montclair, CA, 91763-3201
person
Provider Profile Details
NPI Number
1487206538
Provider Name
Petra Fabiola De La Cruz
Credential
Provider Entity Type
Individual
Gender
Female
Address
9916 Central Ave, Montclair, CA, 91763-3201
Phone Number
909-450-2502
Fax Number
Provider Enumeration Date
07/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9916 Central Ave
City
State
Zip
91763-3201
Phone Number
909-450-2502
Fax Number
person
Provider Business Mailing Address Details
Address
9916 Central Ave
City
State
Zip
91763-3201
Phone Number
909-450-2502
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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