Individual
MR. DENNIS PESTANO SOL CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
026.0069813
Contact information
Practice address
762 MOUNT PLEASANT ST, ST JOHNSBURY, VT 05819-9777
(802) 748-9613
Mailing address
762 MOUNT PLEASANT ST, ST JOHNSBURY, VT 05819-9777
(802) 748-9613
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
026.0069813
VT
Other
Enumeration date
05/09/2011
Last updated
05/11/2011
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