Individual
EUGENE CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16206 S THORSON AVE, COMPTON, CA 90221-4647
(310) 738-7440
(562) 568-9358
Mailing address
PO BOX 15163, LONG BEACH, CA 90815-0163
(310) 738-7440
(562) 568-9358
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
12/13/2023
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