Individual
SAMANTHA STAICY CRUZ VEGA I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 CALLE MUNOZ RIVERA, CAMUY, PR 00627
(787) 421-8324
Mailing address
PO BOX 123, CAMUY, PR 00627-0123
(787) 225-9797
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
007002
PR
Other
Enumeration date
02/27/2018
Last updated
03/17/2018
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