Individual
TIERRA S CROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5715 NW 48TH TER, TAMARAC, FL 33319-2805
(954) 401-7343
Mailing address
5715 NW 48TH TER, TAMARAC, FL 33319-2805
(954) 401-7343
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/13/2017
Last updated
10/13/2017
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