Organization
THE WONDER SPROUT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESUS CRUZ (PRESIDENT)
(786) 444-6003
Entity
Organization
Contact information
Practice address
29629 S DIXIE HWY, HOMESTEAD, FL 33033-3320
(786) 444-6003
Mailing address
29629 S DIXIE HWY, HOMESTEAD, FL 33033-3320
(786) 444-6003
Taxonomy
Speciality
Code
Description
License number
State
102X00000X
Poetry Therapist
Primary
—
—
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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