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Individual

DR. YENNY A CRUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
500 HOLLY SPRINGS RD, HOLLY SPRINGS, NC 27540-6204
(919) 762-5113
Mailing address
339 LEYLAND CYPRESS LN, FUQUAY VARINA, NC 27526-2574
(347) 488-2867

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2022-02672
NC
208000000X
Pediatrics Physician
Primary
P06160
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
P06160
NY
Enumeration date
07/07/2017
Last updated
09/27/2022
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