Individual
MARIELA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
309 THEOPHILO MANSUR CT, KISSIMMEE, FL 34743-4309
(646) 327-9649
Mailing address
309 THEOPHILO MANSUR CT, KISSIMMEE, FL 34743-4309
(646) 327-9649
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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