Individual
RICHMON DELA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
94-1492 LANIKUHANA AVE # 472, MILILANI, HI 96789-7483
(904) 534-3283
Mailing address
94-1492 LANIKUHANA AVE # 472, MILILANI, HI 96789
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-322
HI
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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