Individual
DAVID E CROCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4020 MINNESOTA AVE. S.E., 402, WASHINGTON, DC 20020-2001
(202) 808-5712
Mailing address
1511 MORRIS RD SE, WASHINGTON, DC 20020-4412
(202) 808-5712
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
374U00000X
DC
374U00000X
Home Health Aide
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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