Individual
YASHYRA M CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4185 FLYING FORTRESS AVE, KISSIMMEE, FL 34741-2970
(407) 907-5158
Mailing address
4185 FLYING FORTRESS AVE, KISSIMMEE, FL 34741-2970
(407) 907-5158
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
279409
FL
Other
Enumeration date
04/15/2021
Last updated
04/19/2021
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