Individual
DAMITA CROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1768 KELTNER CIR APT 4, MEMPHIS, TN 38114-4664
(901) 596-9911
Mailing address
1768 KELTNER CIR APT 4, MEMPHIS, TN 38114-4664
(901) 596-9911
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
TN
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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