Individual
BROOKE D CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5855 BIGHORN DR, ROANOKE, VA 24018-2701
(540) 798-8827
Mailing address
5855 BIGHORN DR, ROANOKE, VA 24018-2701
(540) 798-8827
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402204783
VA
Other
Enumeration date
09/11/2021
Last updated
09/11/2021
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