Individual
XAVIER ANTHONY CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1700 WHEELING ST, AURORA, CO 80045-7211
(720) 723-4859
Mailing address
1023 STUART ST, DENVER, CO 80204-2958
(720) 552-4277
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.0334628
CO
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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