Individual
KEYLA I. CRUZ PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 NEWBURY ST, SPRINGFIELD, MA 01104-1251
(321) 287-8196
Mailing address
500 NEWBURY ST, SPRINGFIELD, MA 01104-1251
(321) 287-8196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN260366
MA
Other
Enumeration date
07/16/2024
Last updated
07/25/2024
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