Individual
COREY CROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
201 E LAKEVIEW AVE, WOODLAKE, CA 93286-1301
(844) 767-0540
Mailing address
PO BOX 265, PORT GAMBLE, WA 98364-0265
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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