Individual
AIXA DESTINEE CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 JENIFER ST NW STE 280, WASHINGTON, DC 20015-2113
(301) 367-4827
Mailing address
5 MCCORMICK CT, STAFFORD, VA 22556-6460
(860) 402-0199
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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