Individual
RAYMOND MARTIN CRUZ PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2022 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-3817
(215) 356-7247
Mailing address
238 E STELLA ST APT 2, PHILADELPHIA, PA 19134-2812
(267) 515-3875
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
25512474
PA
Other
Enumeration date
10/29/2017
Last updated
10/29/2017
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