Individual
PATTY CRUZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
7928 DONEGAN DR, MANASSAS, VA 20109-2870
(703) 257-3333
Mailing address
PO BOX 1789, MIDDLEBURG, VA 20118-1789
(540) 687-8181
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2305204290
VA
Other
Enumeration date
05/18/2006
Last updated
07/08/2007
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