Individual
DEBORAH E. DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
69 DOCTORS PARK, SUITE C, CAPE GIRARDEAU, MO 63703-4927
(573) 332-1900
(573) 332-0444
Mailing address
1803 ARNOLD DR, SCOTT CITY, MO 63780-1403
(573) 560-4834
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2005005145-22
MO
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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