Individual
MYRTA CRUZ RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11008 N 52ND ST, TAMPA, FL 33617-2804
(813) 980-0267
(813) 980-0267
Mailing address
11008 N 52ND ST, TAMPA, FL 33617-2804
(813) 980-0267
(813) 980-0267
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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