Most Relevant Information
Provider Data
| NPI Number: | 1003596362 |
| Provider Name: | GENEVIEVE LA FANNIE CRUZ |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/21/2023 |
| Last Updated: | 07/21/2023 |
Provider Practice Location
934 S MAIN ST
LAYTON
UT
840417135
Practice Location Phone/Fax
| Phone: | 8013361839 |
| Fax: |
Provider Mailing Location
934 S MAIN ST
LAYTON
UT
840417135
Provider Mailing Phone/Fax
| Phone: | 8013361839 |
| Fax: |