Individual
TAMMY LYNN DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1881 W ALEXANDER RD UNIT 1070, NORTH LAS VEGAS, NV 89032-9018
(702) 909-5938
Mailing address
1881 W ALEXANDER RD UNIT 1070, NORTH LAS VEGAS, NV 89032-9018
(702) 909-5938
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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