Individual
MR. JUAN PAULO CUETO DELA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
701 W GROVE PKWY, APT 218, TEMPE, AZ 85283-4501
(480) 516-4170
Mailing address
701 W GROVE PKWY APT 218, TEMPE, AZ 85283-4505
(480) 516-4170
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP050836
AZ
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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