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Individual

SPASAH CROCKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4515 GEORGE WASHINGTON HWY, PORTSMOUTH, VA 23702-2403
(757) 447-2668
(757) 401-4819
Mailing address
4515 GEORGE WASHINGTON HWY, PORTSMOUTH, VA 23702-2403
(757) 447-2668
(757) 401-4819

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary

Other

Enumeration date
01/20/2025
Last updated
01/20/2025
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