Individual
CORAZON J DELA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
212 MIDLAND AVE, EAST ORANGE, NJ 07017-1855
(973) 996-8059
Mailing address
212 MIDLAND AVE, EAST ORANGE, NJ 07017-1855
(973) 996-8059
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP05853400
NJ
Other
Enumeration date
03/14/2021
Last updated
03/14/2021
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