Individual
IVETTE CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2961 E SERENE AVE, HENDERSON, NV 89074-6507
(702) 948-4848
(702) 948-4845
Mailing address
2628 PINEROCK ST, LAS VEGAS, NV 89156-2700
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083830277
—
NV
Enumeration date
07/13/2020
Last updated
07/13/2020
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