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Individual
YVETTE CORINNE TOMACRUZ
Active
Individual
YVETTE CORINNE TOMACRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N2846
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FT1597294
CONTROLLED SUBSTANCE REGISTRATION CERTIAFICATE
TX
01
—
N0167574
DPS CERTIFICATE
TX
Enumeration date
08/20/2009
Last updated
08/20/2009
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