Individual
CHRISTINE LAURA CRUZ-GROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
M MED QI SA 1, US DEPT OF STATE, WASHINGTON, DC 20522-0102
(202) 663-1519
(202) 663-3247
Mailing address
US DEPT OFSTATE, M/MED/QI, SA-1, WASHINGTON, DC 20522-0102
(202) 663-1519
(202) 663-3247
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0001257807
VA
363LF0000X
Family Nurse Practitioner
Primary
23414
CA
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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