Individual
JAMES STEWART CRODICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
6568 POHITE DR, MECHANICSVILLE, VA 23111-3226
(804) 730-3941
Mailing address
6568 POHITE DR, MECHANICSVILLE, VA 23111-3226
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002077176
VA
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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