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Search › Virginia › 320900000X

Ephraim Cruz

NPI 1811508252 · on the registry since 2020 · sole proprietor

Practice

Address
8027 Camellia Rd
Norfolk, VA 23518
Phone
(757) 227-1105
Fax
(757) 214-6634
Organisation at this address
Camellia House Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
320900000X
320900000X
Also registered as
320600000X
320700000X
343900000X
347C00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-08-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia