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Individual

CAROLINA DELACRUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, CRNP, FNP-BC

Contact information

Practice address
5601 LOCH RAVEN BLVD BLDG CENTER, BALTIMORE, MD 21239-2945
(443) 444-4720
Mailing address
205 NE ISLE DR, NORTH EAST, MD 21901-3112
(443) 876-2338

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R157663
MD

Other

Enumeration date
09/24/2019
Last updated
10/02/2019
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