Individual
JEANIE CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4202 13TH ST NW APT 314, WASHINGTON, DC 20011-5645
(202) 400-6765
Mailing address
3 TRAVIS CT, GAITHERSBURG, MD 20879-3212
(301) 569-0822
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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