Individual
MONICA DELACRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
(208) 422-1083
Mailing address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
(208) 422-1083
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
61943
ID
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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