Individual
DELDRICK SHAROD CRYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 ROOKS DR, SLIDELL, LA 70458-1033
(985) 768-7944
Mailing address
103 ROOKS DR, SLIDELL, LA 70458-1033
(985) 768-7944
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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