Derrick N Crumpler, DIRECT SERVICE PROVI
NPI #1013235241 in Elk Grove, California
Provider Information
- NPI Number
- 1013235241
- Entity Type
- Individual
- Name
- Derrick N Crumpler, DIRECT SERVICE PROVI
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Homemaker
- Credential
- DIRECT SERVICE PROVI
- Enumeration Date
- May 12, 2010
- Last Updated
- May 12, 2010
Practice Location
- Address
- 5823 FIRE POPPY DR
- City
- Elk Grove
- State
- California
- ZIP Code
- 95757-2848
- Phone
- (916) 247-6058
Specialties & Taxonomy Codes
| Specialty |
|---|
| Homemaker |
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