Individual
CARMEN CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6140 S BROADWAY, LORAIN, OH 44053-3821
(440) 204-4228
(440) 233-9070
Mailing address
6140 S BROADWAY, LORAIN, OH 44053-3821
(440) 204-4228
(440) 233-9070
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN075066MIV
OH
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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