Individual
TED DELACRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 MERCED ST, SAN LEANDRO, CA 94577-4201
(510) 454-4647
Mailing address
2500 MERCED ST, SAN LEANDRO, CA 94577-4201
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
19528
CA
Other
Enumeration date
11/29/2018
Last updated
01/03/2022
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