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Venus Tamara Cruz, IDMT

Military Health Care Provider, Independent Duty Medical Technicians in Nellis Afb, NV. Individual provider (NPI-1).

NPI number1649865775
StatusActive
Last updated in NPPESMar 19, 2024

Details

NPI
1649865775
Entity type
Individual (NPI-1)
Name
Venus Tamara Cruz
Credential
IDMT
Sex
Female
Sole proprietor
No
Enumeration date
Mar 1, 2021
Certification date
Mar 19, 2024
Last updated
Mar 19, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians––Yes

Practice location

4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600

Phone 702-653-2273

Mailing address

4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600

Phone 702-653-2273

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