Individual
GENESIS CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
705 MANISTIQUE AVE, SOUTH MILWAUKEE, WI 53172-3231
(414) 501-0169
Mailing address
705 MANISTIQUE AVE, SOUTH MILWAUKEE, WI 53172-3231
(414) 501-0169
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WI
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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