RAPHY ONIEL ULLOA DE LA CRUZ

ENGLEWOOD, NJ
NPI1588213656
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
Enumeration Date2019-09-10
Last Update Date2019-09-10
Business Address
RAPHY ONIEL ULLOA DE LA CRUZ
75 GRAND AVE
ENGLEWOOD, NJ 07631-3522
Phone number: 201-541-8600
Mailing Address
RAPHY ONIEL ULLOA DE LA CRUZ
414 N 11TH ST APT 1
PROSPECT PARK, NJ 07508-2213
Phone number: