Individual
JESSICA NICHOLE CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5709 HIGHWAY 76 W, LAURENS, SC 29360-6834
(864) 923-0090
Mailing address
5709 HIGHWAY 76 W, LAURENS, SC 29360-6834
(864) 923-0090
Taxonomy
Speciality
Code
Description
License number
State
2279S1500X
SNF/Subacute Care Registered Respiratory Therapist
Primary
RCP4620
SC
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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