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Individual

MAIRA NOHEMY CRUZ RIVAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
901 HARRY S TRUMAN DR N, UPPER MARLBORO, MD 20774-5477
(240) 677-1000
Mailing address
1726 PEACHTREE LN, BOWIE, MD 20721-3018
(509) 828-8113

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R215051
MD
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/06/2024
Last updated
08/16/2024
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