Individual
GERALD THOMAS CROLLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
NAVAL HOSPITAL CAMP PENDLETON, BOX 555191, CAMP PENDLETON, CA 92055-5191
(760) 725-1511
Mailing address
11050 CAMINO PLAYA CARMEL, SAN DIEGO, CA 92124-4141
(858) 427-6683
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
521295
CA
Other
Enumeration date
03/21/2006
Last updated
11/16/2009
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