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Individual

KENYA LAKISHA CRUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
10130 PERIMETER PKWY STE 200, CHARLOTTE, NC 28216
(888) 849-7379
(855) 857-7333
Mailing address
10130 PERIMETER PKWY STE 200, CHARLOTTE, NC 28216-0197
(888) 849-7379
(855) 857-7333

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5010114
NC

Other

Enumeration date
12/15/2017
Last updated
08/20/2018
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