Individual
JUAN CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSS
Contact information
Practice address
11550 I ST STE 100, OMAHA, NE 68137-1222
(402) 616-6060
Mailing address
11550 I ST STE 100, OMAHA, NE 68137-1222
(402) 498-4700
(402) 493-3340
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CPSS-066
NE
Other
Enumeration date
08/28/2020
Last updated
02/09/2021
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