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Individual

DANIEL DELA CRUZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1611 116TH AVE NE STE 200, BELLEVUE, WA 98004-3064
(425) 455-0088
Mailing address
1611 116TH AVE NE STE 200, BELLEVUE, WA 98004-3064
(425) 455-0088

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA60288991
WA
172V00000X
Community Health Worker
MASSAGE THERAPIST -
WA

Other

Enumeration date
02/04/2015
Last updated
02/04/2015
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