Individual
RACHEL GRACE CROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3858 FALCON CHASE ST NW, UNIONTOWN, OH 44685-6609
(330) 754-9330
Mailing address
3858 FALCON CHASE ST NW, UNIONTOWN, OH 44685-6609
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007284
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2021
Last updated
10/19/2021
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