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NPI Code Detail

MEDICARE: MRS. FELICIA K CRUZ HEINZ LMP

MEDICARE: MRS. FELICIA K CRUZ HEINZ LMP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistMA 60022284WA

General Provider Information

NPI Number : 1063747814
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. FELICIA K CRUZ HEINZ LMP
Provider Business Mailing Address
First Line : 1203 W FRANCIS AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99205-6640
Country : US
Telephone Number : 509-328-7575
Fax Number : 509-328-5031
Provider Business Practice Location Address
First Line : 1203 W FRANCIS AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99205-6640
Country : US
Telephone Number : 509-328-7575
Fax Number : 509-328-5031
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2009
Last Update Date : 10/13/2009

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Directions to “ MRS. FELICIA K CRUZ HEINZ LMP” Practice Location

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