Individual
LILIA OFELIA CRUZ-RICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
602 E NOB HILL BLVD, YAKIMA, WA 98901-3534
(509) 457-6540
Mailing address
1902 E BIRCH ST., YAKIMA, WA 98901
(509) 551-1975
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/15/2009
Last updated
10/19/2009
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