RODERICK BRIAN DELA CRUZ

KENOSHA, WI
NPI1033730346
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WM0705X Registered Nurse, Medical-Surgical
(Licence: WI  239454)
Enumeration Date2020-04-28
Last Update Date2020-04-28
Business Address
RODERICK BRIAN DELA CRUZ
9428 69TH ST
KENOSHA, WI 53142-8111
Phone number: 262-344-3892
Mailing Address
RODERICK BRIAN DELA CRUZ
9428 69TH ST
KENOSHA, WI 53142-8111
Phone number: 262-344-3892
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