Tracy Crockett
NPI #1568011807 in Winchester, California
Provider Information
- NPI Number
- 1568011807
- Entity Type
- Individual
- Name
- Tracy Crockett
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Attendant Care Provider
- Enumeration Date
- Sep 10, 2019
- Last Updated
- Sep 10, 2019
Practice Location
- Address
- 36408 COGNAC ST
- City
- Winchester
- State
- California
- ZIP Code
- 92596-9108
- Phone
- (951) 926-6750
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Attendant Care Provider — Attendant Care Provider |
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