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Individual
MASSIEL PENELOPE CRUZ PERALTA
Active
Individual
MASSIEL PENELOPE CRUZ PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
MD485038
PA
390200000X
Student in an Organized Health Care Education/Training Program
57.248032
OH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MT224985
PA
Other
Enumeration date
07/15/2019
Last updated
04/27/2024
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