John J Cruz

NPI #1104332170 in Republic, Washington

Provider Information

NPI Number: 1104332170
Entity Type: Individual
Name: John J Cruz
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Dec 28, 2017
Last Updated: Dec 28, 2017

Practice Location

Address: 65 N KELLER
City: Republic
State: Washington
ZIP Code: 99166-8804
Phone: (509) 775-3364

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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