Individual
JUDY LYNN CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
(209) 547-8607
Mailing address
10830 PICKLE BARREL RD, AUBURN, CA 95602-9523
(916) 410-5476
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95006289
CA
Other
Enumeration date
05/15/2017
Last updated
01/02/2025
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