Diana Ximena Cruz Mactavish

NPI #1659892214 in Lake Park, Florida

Provider Information

NPI Number: 1659892214
Entity Type: Individual
Name: Diana Ximena Cruz Mactavish
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jul 3, 2017
Last Updated: May 17, 2022

Practice Location

Address: 500 N CONGRESS AVE
City: Lake Park
State: Florida
ZIP Code: 33403-3802
Phone: (561) 352-2381

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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