Individual
ANGELA SUE CRUZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4375 US ROUTE 127 N, EATON, OH 45320-9208
(937) 336-6714
Mailing address
4375 US ROUTE 127 N, EATON, OH 45320-9208
(937) 336-6714
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
126837
OH
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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