Individual
DEEPA L CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 MERCANTILE LN, LARGO, MD 20774-5374
(301) 341-3842
Mailing address
1221 MERCANTILE LN, LARGO, MD 20774-5374
(301) 341-3842
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
R139255
MD
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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