Search › California › 367500000X
Waylan Kruse
NPI 1518299874 · on the registry since 2010
Practice
- Address
- 3680 Ramona Dr
Riverside, CA 92506 - Phone
- (714) 336-0429
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-06-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California