Individual
MS. EDNA IRIS CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AA, CPC
Contact information
Practice address
3322 BROADWAY # MS 04, EVERETT, WA 98201-4425
(425) 349-6800
Mailing address
9430 48TH PL W APT 3D, MUKILTEO, WA 98275-3752
(801) 651-7817
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WA
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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