Individual
LISA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9525 KICKAPOO AVE, LAS VEGAS, NV 89149-2398
(702) 352-8888
Mailing address
9525 KICKAPOO AVE, LAS VEGAS, NV 89149-2398
(702) 352-8888
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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