person
Michaela Nicole Cruz San Juan, MD
Student in an Organized Health Care Education/Training Program in Blackstone, Virginia
NPI 1790537660

Michaela Nicole Cruz San Juan is a Student in an Organized Health Care Education/Training Program based in Midlothian, VA. Michaela Nicole Cruz San Juan practices in Blackstone, VA and has the professional credentials of MD. The NPI Number for Michaela Nicole Cruz San Juan is 1790537660 and holds a License No. (Virginia).

The current practice location address for Michaela Nicole Cruz San Juan is 213 N Main St, Blackstone, VA and can be reached out via phone at 434-292-7261.

Location: 213 N Main St, Blackstone, VA, 23112-2107
person
Provider Profile Details
NPI Number
1790537660
Provider Name
Michaela Nicole Cruz San Juan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
213 N Main St, Blackstone, VA, 23112-2107
Phone Number
434-292-7261
Fax Number
Provider Enumeration Date
04/03/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
213 N Main St
City
State
Zip
23824-1425
Phone Number
434-292-7261
Fax Number
person
Provider Business Mailing Address Details
Address
213 N Main St
City
State
Zip
23824-1425
Phone Number
434-292-7261
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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