Individual
MEGAN CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2188 N RUDY CT, MIDLAND, MI 48642-9403
(734) 752-0509
Mailing address
3724 JEFFERSON ST STE 104, AUSTIN, TX 78731-6204
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86067806
MI
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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