Individual
JULIANA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4241 HIGHWAY 14 WEST, CHRISTOPHER, IL 62822-0155
(618) 724-2401
Mailing address
PO BOX 155, CHRISTOPHER, IL 62822-0155
(618) 724-2401
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043117962
IL
Other
Enumeration date
04/25/2014
Last updated
04/25/2014
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