Individual
MR. NELSONCRIS CAPARAS DELACRUZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
I.D.C.
Contact information
Practice address
1035 NIDER BLVD, SUITE 100, NORFOLK, VA 23521-2701
(757) 314-7406
(757) 314-7450
Mailing address
2689 ALAMANCE CIR, VIRGINIA BEACH, VA 23456-3560
(757) 563-8693
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/03/2006
Last updated
07/08/2007
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