Healthcare Provider Details

I. General information

NPI: 1154665818
Provider Name (Legal Business Name): APRIL MARIE DELACRUZ B.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: APRIL MARIE BEJARANO B.A.

II. Dates (important events)

Enumeration Date: 11/19/2012
Last Update Date: 11/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 W 18TH ST
MERCED CA
95340-4604
US

IV. Provider business mailing address

1796 LOPES AVE
MERCED CA
95341-5552
US

V. Phone/Fax

Practice location:
  • Phone: 209-725-2125
  • Fax:
Mailing address:
  • Phone: 559-392-0496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: