Individual
FERDINAND SY CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1210 SW 136TH ST, BURIEN, WA 98166-1214
(206) 370-1824
Mailing address
1210 SW 136TH ST, BURIEN, WA 98166-1214
(206) 370-1824
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
WA
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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