Individual
MS. MELAINA CROCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1203 LOMA ALTA PL, CLEBURNE, TX 76033-6018
(817) 933-5001
Mailing address
1203 LOMA ALTA PLACE, CLEBURNE, TX 76033
(817) 933-5001
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
42525
—
Other
Enumeration date
07/24/2009
Last updated
07/24/2009
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