Jessica Alexandra Cruz, MPAS, PA-C

NPI #1952942195 in Moscow, Idaho

Provider Information

NPI Number: 1952942195
Entity Type: Individual
Name: Jessica Alexandra Cruz, MPAS, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: MPAS, PA-C
Enumeration Date: Sep 30, 2019
Last Updated: Sep 30, 2019

Practice Location

Address: 213 N MAIN ST
City: Moscow
State: Idaho
ZIP Code: 83843-2700
Phone: (208) 882-7565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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