Individual
JIYEONG L CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1424 DEVONSHIRE RD, GROSSE POINTE PARK, MI 48230-1160
(313) 818-9507
Mailing address
1424 DEVONSHIRE RD, GROSSE POINTE PARK, MI 48230-1160
(313) 818-9507
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704318643
MI
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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