Individual
TINA CROCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1460 32ND ST S APT 301, FARGO, ND 58103-3424
(701) 866-3294
Mailing address
1460 32ND ST S APT 301, FARGO, ND 58103-3424
(701) 866-3294
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/08/2026
Last updated
07/08/2026
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