Individual
RENEE CROOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5927 FIRETHORNE LN, CONCORD, NC 28025-9115
(347) 531-9115
(704) 787-9393
Mailing address
5927 FIRETHORNE LN, CONCORD, NC 28025-9115
(704) 787-9393
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
KAH-6534
NC
347C00000X
Private Vehicle
Primary
YHVH-AT
NC
Other
Enumeration date
03/29/2023
Last updated
05/08/2023
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