Individual
MRS. JENNIFER ANN CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1001 BELLEFONTAINE AVE FL 7, LIMA, OH 45804-2800
(419) 998-4496
(419) 998-4463
Mailing address
1001 BELLEFONTAINE AVE, LIMA, OH 45804-2800
(419) 998-4575
(419) 998-4586
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA 9105529
FL
363AM0700X
Medical Physician Assistant
Primary
50.004138
OH
Other
Enumeration date
06/29/2007
Last updated
11/21/2019
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