Individual
MR. HUMBERTO DE LA CRUZ SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 W WYOMING AVE, PHILADELPHIA, PA 19140-1629
(267) 297-6848
(267) 343-3796
Mailing address
120 W WYOMING AVE, PHILADELPHIA, PA 19140-1629
(267) 297-6848
(267) 343-3796
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
PA
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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