Individual
BRITTANIE CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
213 E ORANGE ST, WAUCHULA, FL 33873-2934
(863) 773-3228
Mailing address
PO BOX 1559, BARTOW, FL 33831-1559
(863) 519-0575
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5161806
FL
Other
Enumeration date
03/23/2010
Last updated
02/24/2015
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