Individual
JENALEXIS CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
346 68TH ST SW, GRAND RAPIDS, MI 49548-7179
(616) 369-2850
Mailing address
346 68TH ST SW, GRAND RAPIDS, MI 49548-7179
(616) 369-2850
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
04/03/2020
Last updated
05/05/2021
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