Individual provider · Type 1 NPI
Roman Delacruz
Driver · Jurupa Valley, CA
NPI number
1104531037
Active
Practice location
5739 28th St
Jurupa Valley, CA 92509-2002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1104531037
Roman Delacruz's National Provider Identifier is 1104531037, issued on Jan 16, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Jurupa Valley, CA. The record was last updated on Jan 16, 2023.