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NPI Code Detail

MEDICARE: CRISTHELL RAMOS CRUZ

MEDICARE: CRISTHELL RAMOS CRUZ
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1932647062
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRISTHELL RAMOS CRUZ
Provider Business Mailing Address
First Line : 9641 HARPER AVE
Second Line :
City : DETROIT
State : MI
Zip : 48213-2731
Country : US
Telephone Number : 313-961-4890
Fax Number :
Provider Business Practice Location Address
First Line : 9641 HARPER AVE
Second Line :
City : DETROIT
State : MI
Zip : 48213-2731
Country : US
Telephone Number : 313-961-4890
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2017
Last Update Date : 02/09/2017

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Directions to “ CRISTHELL RAMOS CRUZ ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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