Individual
MARLEN CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
7253 ALABAMA PINE ST, BROWNSVILLE, TX 78526-3043
(956) 466-4800
Mailing address
7253 ALABAMA PINE ST, BROWNSVILLE, TX 78526-3043
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
347661
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790847531
—
TX
Enumeration date
07/03/2019
Last updated
04/08/2020
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