Individual
MR. HENRY WILLIAM DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PROVIDER
Contact information
Practice address
303 ELM ST, READING, PA 19601-3206
(917) 655-8941
(610) 376-3459
Mailing address
303 ELM ST, READING, PA 19601-3206
(917) 655-8941
(610) 376-3459
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
PA
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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