Elisa C Cruz

NPI #1396209565 in Vienna, Virginia

Provider Information

NPI Number: 1396209565
Entity Type: Individual
Name: Elisa C Cruz
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Jan 22, 2019
Last Updated: Jun 11, 2019

Practice Location

Address: 307 MAPLE AVE W STE L
City: Vienna
State: Virginia
ZIP Code: 22180-4307
Phone: (703) 672-1613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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