Individual
TINISHA ANN CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 SUFFOLK ST, LOWELL, MA 01854-3642
(978) 452-5155
(978) 970-0713
Mailing address
30 POLLARD ST, LOWELL, MA 01852-3419
(978) 319-3395
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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