Individual
JAZMIN DELA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
98-1247 KAAHUMANU ST STE 116, AIEA, HI 96701-5300
(808) 954-4500
Mailing address
PO BOX 45, WAIALUA, HI 96791-0045
(808) 219-1054
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
HI
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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