Individual
STALIN VLADIMIR CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE
Contact information
Practice address
674 11TH AVE, PATERSON, NJ 07514-1202
(347) 666-1505
Mailing address
674 11TH AVE, PATERSON, NJ 07514-1202
(347) 666-1505
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
26NR24446100
NJ
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Enumeration date
03/17/2025
Last updated
05/02/2025
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