Individual
GIANRHINA STEPHIE MARIN DELA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 AMBRIDGE ST, OAK GROVE, KY 42262-8364
(808) 796-4739
Mailing address
124 AMBRIDGE ST, OAK GROVE, KY 42262-8364
(808) 796-4739
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
50259729
KY
Other
Enumeration date
07/13/2024
Last updated
01/20/2025
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