Most Relevant Information
Provider Data
| NPI Number: | 1003525460 |
| Provider Name: | SULAI DELACRUZ |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | LN100044 |
Most Important Dates
| Enumeration Date: | 11/15/2022 |
| Last Updated: | 11/15/2022 |
Provider Practice Location
77 WARREN ST
BRIGHTON
MA
021353601
Practice Location Phone/Fax
| Phone: | 6172541271 |
| Fax: | 6177827668 |
Provider Mailing Location
77F WARREN ST
BRIGHTON
MA
021353601
Provider Mailing Phone/Fax
| Phone: | 6172541271 |
| Fax: | 6177827668 |