Individual
JUSTIN AARON CRUTCHFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2402
(808) 691-1000
Mailing address
332 OAKRIDGE LN, LONGVIEW, TX 75605-5956
(903) 424-8324
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1056094
TX
Other
Enumeration date
10/02/2021
Last updated
10/02/2021
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