Individual
MR. LEONILO DE GUZMAN DELA CRUZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
865 STONE ST, RAHWAY, NJ 07065-2742
(732) 499-6017
Mailing address
2 GINESI CT, METUCHEN, NJ 08840-2218
(732) 343-5193
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
26NO09228700
NJ
Other
Enumeration date
09/01/2019
Last updated
09/01/2019
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