Jakarta D. Crafton, IDC
NPI #1194120188 in Groton, Connecticut
Provider Information
- NPI Number
- 1194120188
- Entity Type
- Individual
- Name
- Jakarta D. Crafton, IDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- Nov 3, 2014
- Last Updated
- Nov 3, 2014
Practice Location
- Address
- 15 CYPRESS LN
- City
- Groton
- State
- Connecticut
- ZIP Code
- 06340-3004
- Phone
- (904) 318-3271
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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