Individual
ANGELICA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11334 SSG SIMS RD, BIGGS FIELD, TX 79908
(915) 742-6083
Mailing address
1018 CHRIS FORBES, SOCORRO, TX 79927-4300
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
218895
TX
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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