Individual
MR. HENRIQUEZ DELACRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3350 LA JOLLA VILLAGE DRIVE, PROSTHETIC & SENSORY AIDS SVC 664/121, SAN DIEGO, CA 92161
(858) 642-1152
(858) 642-1471
Mailing address
3350 LA JOLLA VILLAGE DRIVE, PROSTHETIC & SENSORY AIDS SVC 664/121, SAN DIEGO, CA 92161
(858) 642-1152
(858) 642-1471
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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