Individual
TANAIRI EUSEBIO CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3514 DEKALB AVE, BRONX, NY 10467-1205
(347) 418-4733
Mailing address
3514 DEKALB AVE, BRONX, NY 10467-1205
(347) 418-4743
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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