Individual
DERRICK N CRUMPLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DIRECT SERVICE PROVI
Contact information
Practice address
5823 FIRE POPPY DR, ELK GROVE, CA 95757-2848
(916) 247-6058
Mailing address
5823 FIRE POPPY DR, ELK GROVE, CA 95757-2848
(916) 247-6058
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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