Individual
LISA MARIE CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
604 CACTUS CREEK PL, EL PASO, TX 79928-5843
(915) 401-0314
Mailing address
604 CACTUS CREEK PL, EL PASO, TX 79928-5843
(915) 401-0314
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1006572
TX
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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