Individual
JOHANNA DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 AVE ARTERIAL HOSTOS, COND HATO REY CENTRO EDF O APT 301, SAN JUAN, PR 00918-5200
(787) 342-9334
Mailing address
130 ARTERIAL HOSTOS, COND HATO REY CENTRO EDF O APT 301, SAN JUAN, PR 00918
(787) 342-9334
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
5257
PR
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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