Individual
MS. JACINTA DELA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 E DAVIS DR, TERRE HAUTE, IN 47802-4034
(812) 232-7337
Mailing address
1310 E DAVIS DR, TERRE HAUTE, IN 47802-4034
(812) 232-7337
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003608A
IN
Other
Enumeration date
05/12/2022
Last updated
06/01/2022
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