Individual
ANTHONY C DELACRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
970 E US HIGHWAY 36, URBANA, OH 43078-1891
(614) 507-9412
Mailing address
3237 MCKINLEY AVE LOT 53, COLUMBUS, OH 43204-3699
(614) 507-9412
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
Primary
33007006
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45-3789508
TAX ID
OH
Enumeration date
11/11/2011
Last updated
11/11/2011
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