Individual
RUBY DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4478 COLE FARM RD, NOTTINGHAM, MD 21236-2976
(443) 928-6438
Mailing address
4478 COLE FARM RD, NOTTINGHAM, MD 21236-2976
(443) 928-6438
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R167230
MD
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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