Individual
IVELISSE CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13 N HARTFORD AVE, ATLANTIC CITY, NJ 08401-3512
(609) 348-1161
(609) 383-2868
Mailing address
6550 DELILAH RD STE 301, EGG HARBOR TWP, NJ 08234-5102
(609) 272-8580
(609) 383-2868
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
26NR14564100
NJ
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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