Individual
MRS. ANITA FAYE CROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
932 EVAN DR, O FALLON, IL 62269-3471
(618) 632-4007
Mailing address
932 EVAN DR, O FALLON, IL 62269-3471
(618) 632-4007
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2005037802
MO
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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