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Individual

MS. CATHERINE CRUZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
740 N 25TH ST, LEBANON, PA 17046-2615
(717) 306-8395
Mailing address
740 N 25TH ST, LEBANON, PA 17046-2615
(717) 306-8395

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN254568L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PN254568L
COMMONWEALTH OF PA DEPARTMENT OF STATE BUREAU OF PROFESSIONAL AND OCCUPATIONAL A
PA
Enumeration date
11/24/2014
Last updated
04/13/2023
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