Individual
NICKOLAS KC CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
12901 SE KENT KANGLEY RD, KENT, WA 98030-7939
(253) 630-1575
Mailing address
PO BOX 380, EAST OLYMPIA, WA 98540-0380
(360) 943-8250
(360) 943-0473
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH61175811
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
Other
Enumeration date
03/18/2021
Last updated
07/26/2021
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