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Organization
RENEWCARE MOBILE WOUND SPECIALIST LLC
Active
Organization
RENEWCARE MOBILE WOUND SPECIALIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REYNALDO DELA CRUZ (OWNER)
(520) 614-6665
Entity
Organization
Contact information
Practice address
263 BAY RIDGE DR, DALY CITY, CA 94014-1570
(520) 614-6665
Mailing address
263 BAY RIDGE DR, DALY CITY, CA 94014-1570
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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