Individual
MARIA LOURDES CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
670 W FIREWEED LN STE 160, ANCHORAGE, AK 99503-2561
(907) 770-0862
Mailing address
9499 BRAYTON DR SPC 317, ANCHORAGE, AK 99507-4006
(907) 441-8436
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
128034
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163W0000X
—
AK
Enumeration date
08/16/2019
Last updated
08/29/2019
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