Individual
DIAMOND CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 S MAIN ST, PAYETTE, ID 83661-2853
(208) 741-3336
Mailing address
250 S MAIN ST, PAYETTE, ID 83661-2853
(208) 405-0020
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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