Individual
ANDREA DENISSE CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
990 SYLVAN WAY STE 101, BREMERTON, WA 98310-2851
(360) 479-3657
Mailing address
990 SYLVAN WAY STE 101, BREMERTON, WA 98310-2851
(360) 479-3657
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
61067726
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2016
Last updated
01/27/2021
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