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Individual

MIRIAN CRUZ CRUZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
A23 CALLE 1, URB SIERRA LINDA, BAYAMON, PR 00957
(787) 367-6818
Mailing address
1 RES SIERRA LINDA # URB, A23 CALLE 1, BAYAMON, PR 00957-2002
(787) 367-6818

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
8347
PR

Other

Enumeration date
02/03/2012
Last updated
02/03/2012
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