Individual
OPAL WENDY CROOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
21227 TORCH ROAD, FORT BLISS, TX 79901
(915) 742-7263
(915) 742-3098
Mailing address
3656 TIERRA LISBOA LN, EL PASO, TX 79938-4317
(206) 718-5047
(915) 742-3098
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
690310
TX
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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