Individual
DEJA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4606 BENNING RD SE APT 1, WASHINGTON, DC 20019-5115
(202) 527-0291
Mailing address
4606 BENNING RD SE APT 1, WASHINGTON, DC 20019-5115
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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