Individual
MARY ELIZABETH CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
1868 PACIFIC AVE, LONG BEACH, CA 90806-6113
(562) 595-4718
Mailing address
1868 PACIFIC AVE, LONG BEACH, CA 90806-6113
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN 477061
CA
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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