Individual
LAURA K CROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
6924 CARRETA LN, RANCHO MURIETA, CA 95683-9519
(916) 949-8286
Mailing address
2127 W 5TH PL, TEMPE, AZ 85281-7228
(916) 949-8286
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
ND1381
CA
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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