Individual
AMANDA LEANNE CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 MAIN ST, JOHNSTOWN, PA 15901-1507
(814) 266-8840
Mailing address
120 WALNUT ST, INDIANA, PA 15701-2136
(949) 690-7973
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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