Individual
BEVERLY CRUZ MENJIVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3320 AUBURN WAY N, AUBURN, WA 98002-1805
(253) 999-5750
(253) 999-5740
Mailing address
3320 AUBURN WAY N, AUBURN, WA 98002-1805
(253) 999-5750
(253) 999-5740
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
MENJ455636
WA
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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