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Individual
JOANNA CROCKER
Active
Individual
JOANNA CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95028879
CA
363LC0200X
Critical Care Medicine Nurse Practitioner
95028879
CA
363LF0000X
Family Nurse Practitioner
95028879
CA
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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