Most Relevant Information
Provider Data
| NPI Number: | 1003524679 |
| Provider Name: | RACHELLY DE LA CRUZ RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN78352 |
Most Important Dates
| Enumeration Date: | 11/11/2022 |
| Last Updated: | 05/11/2024 |
Provider Practice Location
101 BACON ST
PAWTUCKET
RI
028605542
Practice Location Phone/Fax
| Phone: | 4017223560 |
| Fax: |
Provider Mailing Location
101 BACON ST
PAWTUCKET
RI
028605542
Provider Mailing Phone/Fax
| Phone: | 4017223560 |
| Fax: |