Individual
RICO ANTONIO CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
100 BROADWAY AVE, YOUNGSTOWN, OH 44505-2789
(330) 744-9020
Mailing address
100 BROADWAY AVE, YOUNGSTOWN, OH 44505-2789
(330) 744-9020
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OH
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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