Provider Demographics
NPI:1811214687
Name:DELACRUZ, ANA VIRGINIA (NCV TECHNICIAN)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:VIRGINIA
Last Name:DELACRUZ
Suffix:
Gender:F
Credentials:NCV TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 AYCRIGG AVE
Mailing Address - Street 2:
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-5664
Mailing Address - Country:US
Mailing Address - Phone:551-587-1150
Mailing Address - Fax:
Practice Address - Street 1:39 AYCRIGG AVE
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-5664
Practice Address - Country:US
Practice Address - Phone:551-587-1150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-03
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other