Individual
MELOUNIE PALANA CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
ONE CIVIC PLAZA, SUITE 625, CARSON, CA 90745
(310) 549-4500
(310) 549-4700
Mailing address
1831 PEARL ST, # 4, SANTA MONICA, CA 90405-2732
(310) 450-1120
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 6400
CA
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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