Individual
AMARYLIS CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 MANTON AVE, PROVIDENCE, RI 02909-5633
(401) 274-6310
Mailing address
610 MANTON AVE, PROVIDENCE, RI 02909-5633
(401) 274-6310
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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