Individual
GRACE CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2681 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208-2562
(313) 207-0236
Mailing address
2681 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208-2562
(313) 207-0236
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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