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Vivian Susely Cruz
Student in an Organized Health Care Education/Training Program in Sparks, Nevada
NPI 1447996749

Vivian Susely Cruz is a Student in an Organized Health Care Education/Training Program based in Sparks, NV. Vivian Susely Cruz practices in Sparks, NV. The NPI Number for Vivian Susely Cruz is 1447996749 and holds a License No. (Nevada).

The current practice location address for Vivian Susely Cruz is 2105 Jessie Ave, Sparks, NV and can be reached out via phone at 775-232-3620.

Location: 2105 Jessie Ave, Sparks, NV, 89431-3539
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447996749
Provider Name
Vivian Susely Cruz
Credential
Provider Entity Type
Individual
Gender
Female
Address
2105 Jessie Ave, Sparks, NV, 89431-3539
Phone Number
775-232-3620
Fax Number
Provider Enumeration Date
05/10/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2105 Jessie Ave
City
Sparks
State
Nevada
Zip
89431-3539
Phone Number
775-232-3620
Fax Number
person
Provider Business Mailing Address Details
Address
2105 Jessie Ave
City
Sparks
State
Nevada
Zip
89431-3539
Phone Number
775-232-3620
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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