Individual
FANNY CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
534 CHESTNUT ST, EMMAUS, PA 18049-2404
(484) 225-4629
Mailing address
534 CHESTNUT ST, EMMAUS, PA 18049-2404
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
10068276
PA
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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