Individual
KAREN CAMILLE CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 TABOR AVE STE 301, PHILADELPHIA, PA 19120-2124
(215) 245-2131
Mailing address
138 W COLLINS CT, BLACKWOOD, NJ 08012-4905
(856) 577-9025
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN287255
PA
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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