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Individual

SANDRA J. CRUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1010 PENSACOLA ST, HONOLULU, HI 96814-2118
(808) 432-2000
Mailing address
1010 PENSACOLA ST, HONOLULU, HI 96814-2118
(808) 432-2000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN-134
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000220152
HMSA BILLING NUMBER
HI
05
54979302
HI
Enumeration date
11/02/2006
Last updated
07/09/2007
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