Individual
KAELIN VINCE CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
118 7TH AVE SW, PUYALLUP, WA 98371-6803
(253) 250-3888
Mailing address
34701 6TH AVE SW, FEDERAL WAY, WA 98023-8447
(253) 880-6261
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61085950
WA
Other
Enumeration date
12/27/2018
Last updated
08/17/2020
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