Individual
LETICIA DELACRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
445 3RD AVE SW, ALBANY, OR 97321-2272
(541) 967-3866
Mailing address
445 3RD AVE SW, ALBANY, OR 97321-2272
(541) 967-3866
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171M00000X
CASE MANAGER
OR
Enumeration date
03/22/2007
Last updated
03/14/2019
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