Individual
ANGELA NICOLE VANESSA CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
956 E TABOR AVE, FAIRFIELD, CA 94533-4104
(707) 595-7544
Mailing address
956 E TABOR AVE, FAIRFIELD, CA 94533-4104
(707) 595-7544
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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