Individual
MS. CYNTHIA L. CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1000 FIANNA WAY # MD3881, FORT SMITH, AR 72919-9008
(205) 335-4374
Mailing address
1000 FIANNA WAY # MD3881, FORT SMITH, AR 72919-9008
(205) 335-4374
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
0425
AL
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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