Individual
AMANDA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 SPRUCE ST, PHILADELPHIA, PA 19107-5701
(215) 829-5120
Mailing address
801 SPRUCE ST, PHILADELPHIA, PA 19107-5701
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN638111
PA
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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