Individual
MARY LISA CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
116 CAMP ST, HYANNIS, MA 02601-3008
(833) 229-2683
(508) 534-9140
Mailing address
116 CAMP ST, HYANNIS, MA 02601-3008
(833) 229-2683
(508) 534-9140
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN269673
MA
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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