Individual
MRS. EVANGELINE BRIGINO CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1158 E HACIENDA AVE, LAS VEGAS, NV 89119-1814
(702) 480-4858
Mailing address
1168 E HACIENDA AVE, LAS VEGAS, NV 89119-1814
(702) 480-4858
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4309AGC10
NV
Other
Enumeration date
07/12/2012
Last updated
07/13/2012
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