Individual
MATILDE VINOYA DELA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2692 US HIGHWAY 431, BOAZ, AL 35957-5845
(256) 558-6000
Mailing address
204 CAMBRIDGE LN, RAINBOW CITY, AL 35906-6604
(256) 393-8158
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-106864
AL
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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