Individual
CHEUNITA R CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 PAGE RD, OCCUPATIONAL MEDICINE SQUADRON, ROBINS AIR FORCE BASE, GA 30098-7627
(478) 926-0732
Mailing address
655 7TH ST, ROBINS AFB, GA 31098-2227
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R126162
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495467481A
—
GA
Enumeration date
12/13/2005
Last updated
05/10/2022
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