Individual
MS. MARJORIE GUERRERO CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6490 WOLF RUN SHOALS RD, FAIRFAX STATION, VA 22039-1742
(703) 250-1944
Mailing address
6107 CLEARBROOK DR, SPRINGFIELD, VA 22150-2411
(571) 243-5486
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
0001104501
VA
Other
Enumeration date
03/27/2009
Last updated
03/27/2009
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