Individual
BLANCA GOMEZ-CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R065303
Contact information
Practice address
1370 PEABODY ST NW APT 204, WASHINGTON, DC 20011-1850
(301) 256-2567
Mailing address
1370 PEABODY ST NW APT 204, WASHINGTON, DC 20011-1850
(301) 256-2567
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
R065303
MD
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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