Individual
ANA RITA DELACRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
700 N BROAD ST STE 303, ELIZABETH, NJ 07208-2310
(908) 662-7697
Mailing address
700 N BROAD ST STE 303, ELIZABETH, NJ 07208-2310
(908) 662-7697
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00086500
NJ
246ZC0007X
Surgical Assistant
14-465
NJ
247200000X
Other Technician
CT-10502
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1133684
AMERICAN SPECIALTY HEALTH
NJ
Enumeration date
09/22/2011
Last updated
06/13/2023
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