Individual
LUPE DELACRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1904 SUNSET BLVD STE A, WEST COLUMBIA, SC 29169-5954
(803) 794-9244
Mailing address
1904 SUNSET BLVD STE A, WEST COLUMBIA, SC 29169-5954
(803) 794-9244
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
SC-HAS445
SC
Other
Enumeration date
10/05/2009
Last updated
10/05/2009
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